JESSICA BENESCH HAZEN (NPI# 1194998419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194998419 |
| Entity Type | Individual |
| Full Name | JESSICA BENESCH HAZEN |
| Credential | D.O. |
| Practice Address |
27 E Mount Airy Ave Philadelphia PA 19119-1713 |
| Mailing Address |
27 Mt. Airy Ave Philadelphia PA 19119 |
| Practice Telephone | 2152486826 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2010-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144726019 | Jessica Sok Hazen | Dietitian, Registered | 1730 Sw Skyline Blvd Ste 226, Portland, OR 97221-2549 | 2018-04-01 |
| Street Address |
27 E MOUNT AIRY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686608 | M Samson Seplow | Psychiatry & Neurology | 27 E Mount Airy Ave, Philadelphia, PA 19119 | 2007-03-14 |
| 1760030092 | Jennifer Lynne Bush | Psychologist | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2019-08-29 |
| 1649536657 | Daniel Deutsch | Marriage & Family Therapist | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2012-04-03 |
| 1669757860 | Patricia Sutterley | Social Worker | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2011-10-19 |
| 1578865580 | Merakey Childrens Services | Community/Behavioral Health | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2010-11-23 |
| 1578703617 | Merakey Philadelphia | Case Management | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2009-03-03 |
| 1578761029 | Merakey Philadelphia | Psychoanalyst | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2007-07-06 |
| 1891913133 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2007-04-23 |
| 1700909595 | Merakey Philadelphia | Case Management | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2007-04-09 |
| 1073636866 | Merakey Philadelphia | Community/Behavioral Health | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1477166056 | Tiffany Shanay Canady | Student in an Organized Health Care Education/Training Program | 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 | 2020-08-25 |
| 1093325599 | Taylor Ann Hall | Student in an Organized Health Care Education/Training Program | 403 E Evergreen Ave, Philadelphia, PA 19118-2826 | 2020-08-09 |
| 1093324766 | Alex J Rodriguez | Student in an Organized Health Care Education/Training Program | 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 | 2020-07-28 |
| 1396361796 | Hagar Mahmoud | Student in an Organized Health Care Education/Training Program | 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 | 2020-06-22 |
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1386266138 | Ogan Kumova | Student in an Organized Health Care Education/Training Program | 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 | 2020-05-15 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
Please comment or provide details below to improve the information on JESSICA BENESCH HAZEN.
| 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.