Hazelden New York

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HAZELDEN NEW YORK

Practice address

322 8TH Ave
12TH Floor
New York, NY 10001-8001

Phone

(800) 257-7810

Fax

(212) 420-9664

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Michael Ranum

Title

Cfo

Phone

(651) 213-4724

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hazelden New York2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hazelden New York

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1053605923
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hazelden New York

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1053605923
  NPPES parent name

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912064635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 8TH AVE",
            "address_2": "12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018001",
            "telephone_number": "800-257-7810",
            "fax_number": "212-420-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 8TH AVE",
            "address_2": "12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018001",
            "telephone_number": "800-257-7810",
            "fax_number": "212-420-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZELDEN NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-213-4724"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Hazarian, NP
• Katherine Hazdovac, M.S.
• Karen Hazel, PSY.D.
• Kayla Hazel, PT, DPT, SMFA
• Hazelden New York
• Amanda Hazell, PT, DPT
• Sarah Libbon Hazelton
• Alexes Hazen, M.D.
• Wendy Hazen
• Nissim Hazkour

• Substance Use Disorder Rehabilitation Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.