Grace E. Hazeltine Bartman, PH.D., Psychologist

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE E. HAZELTINE BARTMAN, PH.D., PSYCHOLOGIST

Practice address

4212 1/2 Overland Ave
Culver City, CA 90230-3736

Phone

(323) 553-2205

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Grace E Hazeltine, PHD

Title

Owner

Phone

(323) 553-2205

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1760197255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 1/2 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902303736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 1/2 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902303736",
            "telephone_number": "323-553-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE E. HAZELTINE BARTMAN, PH.D., PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "HAZELTINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-553-2205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578008256",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanesha Gordon
• Stephanie Gordziel
• Niveen Adli Gorgy, D.C.
• Kayla Janice Gosnell, M.A.
• James Gotis
• Azuria Grace
• Makeila Gracia
• Emily Graham
• Jennifer C Graham
• Lahshanae Jacole Graham

• Community/Behavioral Health Agency in Culver City, CA
• Providers in Culver City, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.