Palpu None Hazel, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

11375 Issued in AZ

Practice address

7514 E Monterey Way
Suite # 4
Scottsdale, AZ 85251-6900

Phone

(480) 949-5700

Fax

(480) 949-8976

NPI assigned

Jun 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Beverly Fairchild Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518901974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 E MONTEREY WAY",
            "address_2": "SUITE # 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516900",
            "telephone_number": "480-949-5700",
            "fax_number": "480-949-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 E MONTEREY WAY",
            "address_2": "SUITE # 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516900",
            "telephone_number": "480-949-5700",
            "fax_number": "480-949-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "PALPU",
        "middle_name": "NONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "11375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254855-03",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "FAIRCHILD",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Haynie, DMD
• Denise M Haynik, D.O.
• Serenity Hays
• Joann G Hayslip, RN
• Elizabeth Ann Hayward, M.S. CCC-SLP
• Sara Anne Hazel, N.D.
• Damaris Hazell, AG-ACNP
• Hazelwood Mental Health
• Hbic Medical LLC
• HDLP PLLC (Little Arrow Anesthesia)

• Child & Adolescent Psychiatry Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.