Individual provider Active NPI

Charles Hazlehurst, PHD

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1437192671
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1291 Issued in CO
Practice address
8565 South Poplar Way
Littleton, CO 80130
Phone
(720) 348-2800
Fax
(720) 348-2803
NPI assigned
Jun 14, 2006
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1291 CO Primary

Addresses

Primary practice location

8565 South Poplar Way
Littleton, CO 80130

Mailing address

8565 South Poplar Way
Littleton, CO 80130
Phone (720) 348-2800

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1291COMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1437192671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 SOUTH POPLAR WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80130",
            "telephone_number": "720-348-2800",
            "fax_number": "720-345-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 SOUTH POPLAR WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80130",
            "telephone_number": "720-348-2800",
            "fax_number": "720-348-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEHURST",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.