DR. MICHAEL GERARD HAZLEWOOD (NPI# 1043218472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043218472 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GERARD HAZLEWOOD |
| Credential | PH.D. |
| Practice Address |
60 Woodlore Cir Little Rock AR 72211-2354 |
| Mailing Address |
Po Box 356 North Little Rock AR 72115-0356 |
| Practice Telephone | 5012249876 |
| Mailing Telephone | 5012249876 |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | AR 79-32P | AR | Behavioral Health & Social Service Providers |
| Street Address |
60 WOODLORE CIR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033510037 | Seth T Sorensen | Clinical Neuropsychologist | 1 Childrens Way # 512-21, Little Rock, AR 72202 | 2014-09-09 |
| 1225367725 | Elizabeth Speck-kern | Clinical Neuropsychologist | 3 Innwood Cr., Ste 111, Little Rock, AR 72211 | 2009-12-11 |
| 1477785822 | Andrews Neuropsychology Consulting, Pplc | Clinical Neuropsychologist | 1701 Centerview Dr Ste 123, Little Rock, AR 72211-4311 | 2009-08-19 |
| 1851501803 | Garrett Andrews | Clinical Neuropsychologist | 2400 Riverfront Dr, Apt. 1437, Little Rock, AR 72202-2208 | 2007-05-22 |
| 1033285150 | William Austin Cochran IIi | Clinical Neuropsychologist | 287 Valley Club Cir, Little Rock, AR 72212-2934 | 2006-11-28 |
| 1740392919 | Jennifer Lewis Gess | Clinical Neuropsychologist | 4301 W Markham St # 554, Little Rock, AR 72205-7101 | 2006-08-31 |
| 1073581468 | Gary T. Souheaver | Clinical Neuropsychologist | 6 Margeaux Ct, Little Rock, AR 72223-9193 | 2006-03-10 |
| 1154304665 | James R Moneypenny | Clinical Neuropsychologist | 8500 W Markham St, Ste 305, Little Rock, AR 72205-2453 | 2005-11-29 |
| 1962405563 | Jody Lynn Hagen | Clinical Neuropsychologist | 10515 W Markham St, Suite B1, Little Rock, AR 72205-2139 | 2005-05-27 |
| 1043410608 | Kelly Pizzitola Jarratt | Clinical Neuropsychologist | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2007-07-23 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.