Hazelden Betty Ford Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HAZELDEN BETTY FORD FOUNDATION

Practice address

867 N Dearborn St
Chicago, IL 60610-3310

Phone

(312) 943-3534

NPI assigned

Mar 26, 2015

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Moseley, MA, CADC

Title

CD Profession 1

Phone

(312) 943-3534

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e54ca37d-332e-47f6-85c8-4b653eedbcbc/

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1700270964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 LEE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103310",
            "telephone_number": "312-943-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZELDEN BETTY FORD FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CD PROFESSION 1",
        "authorized_official_telephone_number": "312-943-3534",
        "authorized_official_credential": "MA, CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tjuana Haywood
• Trent T Haywood, MD, JD
• Hani Hazani, M.D.
• Maryam Helen Hazeghazam, M.D, PHD
• Jessica Jean Hazel, D.C.
• Hazelden Chicago
• Clive Garrad Hazell, PHD, DN
• Victoria-Rose Hazell, MA, LPC
• Devona Nicole Hazelwood, LPC
• Farrah Hazheer, CNM

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.