Active NPI
Jeffrey Harazin
- Psychiatry Physician
- Colorado Springs, CO
National Provider Identifier
1396831517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36805
- Practice address
- 830 Tenderfoot Hill Rd Ste 350
Colorado Springs, CO 80906-4003 - Phone
- (719) 576-3800
- Fax
- (719) 576-3828
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36805 | CO | Primary |
Addresses
Primary practice location
830 Tenderfoot Hill Rd Ste 350
Colorado Springs, CO 80906-4003
Mailing address
830 Tenderfoot Hill Rd Ste 350
Colorado Springs, CO 80906-4003
Phone (719) 576-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1396831517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 TENDERFOOT HILL RD STE 350",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064003",
"telephone_number": "719-576-3800",
"fax_number": "719-576-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 TENDERFOOT HILL RD STE 350",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064003",
"telephone_number": "719-576-3800",
"fax_number": "719-576-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAZIN",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "36805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.