Janet Irene Hazen-Wycoff, PSY.D., M.ED.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23638 Issued in CA

Practice address

1955 Mountain Blvd
Suite 115
Oakland, CA 94611-2830

Phone

(510) 531-8221

NPI assigned

Apr 26, 2011

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 CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• SNF Specialists Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1497265565
  Medicare reassignment NPD

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1700177615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 ATWELL AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012707",
            "telephone_number": "510-410-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MOUNTAIN BLVD",
            "address_2": "SUITE 115",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112830",
            "telephone_number": "510-531-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN-WYCOFF",
        "first_name": "JANET",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan M Haynes, MD
• Erin Shea Hays, PA-C
• Francis M. Hays, PHD
• Salma Hayter
• Jean C. Hayward, MD
• Cassandra Adrienne Hazen, LMFT
• Amy Hazer, MSW
• Jordan William Hazzard, PSY.D.
• Annaliza Y. He
• Enyi He, DPT

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.