Jordan William Hazzard, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35403 Issued in CA

Practice address

5297 College Ave Ste 107
Oakland, CA 94618-1797

Phone

(415) 316-3355

Fax

(415) 390-6923

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jordan William Hazzard Professional name

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Attentive Cognitive and Mental Health Services Psychology Inc.Group PAC ID 9537580428, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Attentive Cognitive and Mental Health Services Psychology Inc.

  • Community/Behavioral Health Agency
  • San Ramon, CA
  • NPI 1902427438
  Medicare reassignment Care Compare group NPD
• Berkeley Therapy Institute

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1255497814

  Clinical

  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1811370653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297 COLLEGE AVE STE 107",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181797",
            "telephone_number": "415-316-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 COLLEGE AVE STE 107",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181797",
            "telephone_number": "415-316-3355",
            "fax_number": "415-390-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZZARD",
        "first_name": "JORDAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "35403",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "HAZZARD",
            "middle_name": "WILLIAM",
            "prefix": "DR.",
            "credential": "DR. HAZZARD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Salma Hayter
• Jean C. Hayward, MD
• Janet Irene Hazen-Wycoff, PSY.D., M.ED.
• Cassandra Adrienne Hazen, LMFT
• Amy Hazer, MSW
• Annaliza Y. He
• Enyi He, DPT
• Jeannie He
• Jennifer He, RPH
• Jimmy Zhuojie He, MD

• 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 May 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.