Active NPI
Ashley Hazley
- Behavior Technician
- Royal Oak, MI
National Provider Identifier
1467910091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 28000 Woodward Ave Ste 201
Royal Oak, MI 48067-0962 - Phone
- (248) 395-3777
- NPI assigned
- Mar 2, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
28000 Woodward Ave Ste 201
Royal Oak, MI 48067-0962
Mailing address
3058 23Rd St
Detroit, MI 48216-1027
Other names 1
- Ms. Ashley Patillo
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcall of Detroit | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551484800000",
"number": "1467910091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3058 23RD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482161027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28000 WOODWARD AVE STE 201",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670962",
"telephone_number": "248-395-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZLEY",
"first_name": "ASHLEY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-02",
"last_updated": "2019-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "PATILLO",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.