Chanda L Hazelwood

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4760 S Pecos Rd # 103-25
Las Vegas, NV 89121-5828

Phone

(702) 772-9346

Fax

(702) 446-8465

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Maximumts

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1821665415
  NPD Authorized official
• Helping Hands Behavioral Treatment Services LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1417269291
  NPD (past) Authorized official
• Helping Hands Behavioral Treatment Services LLC.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1114241221
  NPD (past) Authorized official
• Renaissance Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1760950927
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1679854848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ABBINGTON ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890744931",
            "telephone_number": "702-772-9346",
            "fax_number": "702-446-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD # 103-25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-772-9346",
            "fax_number": "702-446-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "CHANDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005054570",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalilah Haywood
• Thomas Haywood
• Waltella Haywood
• Moses Hazan
• Hazel Gois LLC
• Monet Jacques Hazelwood, RBT
• Lisa Maria Hazen, MS, CCC-SLP
• Melanie Joyce Hazen, APN
• Nazanin Hazhir Karzar, MD
• Diana Hazim

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.