Active NPI
Justin Hazel, PHD
- Clinical Psychologist
- Napa, CA
National Provider Identifier
1346674819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 26751
- Practice address
- 2100 Napa Vallejo Hwy.
Napa, CA 94558-6293 - Phone
- (707) 253-5000
- NPI assigned
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 26751 | CA | Primary |
Addresses
Primary practice location
2100 Napa Vallejo Hwy.
Napa, CA 94558-6293
Mailing address
2100 Napa Vallejo Hwy.
Napa, CA 94558-6293
Phone (707) 253-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26751 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1346674819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY.",
"city": "NAPA",
"state": "CA",
"postal_code": "945586293",
"telephone_number": "707-253-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY.",
"city": "NAPA",
"state": "CA",
"postal_code": "945586293",
"telephone_number": "707-253-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "26751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.