Individual provider Active NPI

Paulene T Hazel, PHD

  • Behavior Analyst
  • Hollywood, FL
National Provider Identifier
1912345232
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-03-0807 Issued in FL
Practice address
3900 Hollywood Blvd Ste PH-E
Hollywood, FL 33021-6760
Phone
(954) 296-6633
Fax
(954) 442-4660
NPI assigned
Jun 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 0-03-0807 FL
Behavior Analyst 103K00000X 0-03-0807 FL Primary

Addresses

Primary practice location

3900 Hollywood Blvd Ste PH-E
Hollywood, FL 33021-6760

Mailing address

3900 Hollywood Blvd Ste PH-E
Hollywood, FL 33021-6760
Phone (954) 296-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral & Health Consultants Inc Behavior Analyst CurrentSince Jan 19, 2025 Accepting new patients

Locations

3900 Hollywood Blvd
Ste Phe
Hollywood, FL 33021
Phone (954) 296-6633

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1912345232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD BLVD STE PH-E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216760",
            "telephone_number": "954-296-6633",
            "fax_number": "954-743-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD BLVD STE PH-E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216760",
            "telephone_number": "954-296-6633",
            "fax_number": "954-442-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "PAULENE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-08",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "0-03-0807",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-03-0807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.