Clive Garrad Hazell, PHD, DN

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

180003932 Issued in IL

Practice address

3324 N Kostner Ave
Chicago, IL 60641-4513

Phone

(773) 726-1952

NPI assigned

Jun 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago National College of Naprapathy, Inc.

  • Naprapath
  • Chicago, IL
  • NPI 1346393568
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1447514153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 N KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414513",
            "telephone_number": "773-726-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 N KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414513",
            "telephone_number": "773-726-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELL",
        "first_name": "CLIVE",
        "middle_name": "GARRAD",
        "name_prefix": "Dr.",
        "credential": "PHD, DN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "180003932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hani Hazani, M.D.
• Maryam Helen Hazeghazam, M.D, PHD
• Jessica Jean Hazel, D.C.
• Hazelden Betty Ford Foundation
• Hazelden Chicago
• Victoria-Rose Hazell, MA, LPC
• Devona Nicole Hazelwood, LPC
• Farrah Hazheer, CNM
• Katrina Maria Hazim, MD
• Muhammad Haziq, PHARMD

• Counseling Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.