Leslie Ann Hazel-Fernandez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68021989 Issued in NY

Practice address

120 Beach 26TH St
Apt 805
Far Rockaway, NY 11691-2238

Phone

(305) 812-2902

Fax

(305) 812-2902

NPI assigned

Jan 17, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Senior Care Therapy Psychology of New York PLLC

  • Clinical Psychologist
  • Flushing, NY
  • NPI 1437628203
  Medicare reassignment NPD

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1467998237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BEACH 26TH ST",
            "address_2": "APT 805",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912238",
            "telephone_number": "305-812-2902",
            "fax_number": "305-812-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BEACH 26TH ST",
            "address_2": "APT 805",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912238",
            "telephone_number": "305-812-2902",
            "fax_number": "305-812-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEL-FERNANDEZ",
        "first_name": "LESLIE ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68021989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Haskins, LMSW
• Haven Manor Health Care Center LLC
• Twila Hawkins
• Canava Vanacia Haye, REGISTERED NURSE
• Naudia Haywood, LPN
• Jennifer Heavey, LMSW
• Miriam Hecht, M.S.
• Lynn Heeran
• Samuel Heifetz
• Hendon Garden Center LLC

• Clinical Psychologist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.