DR. JORDAN WILLIAM HAZZARD PSY.D. NPI 1811370653

NPI Information

  • NPI: 1811370653
  • Provider Name: DR. JORDAN WILLIAM HAZZARD, PSY.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5297 COLLEGE AVE STE 107
    OAKLAND, CA
    ZIP 94618
  • Phone: (415) 390-6725

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NPI Details

DR. Jordan William Hazzard, PSY.D. is a clinical psychologist in Oakland, CA with 3 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Jordan William Hazzard, PSY.D. NPI is 1811370653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5297 COLLEGE AVE STE 107
OAKLAND, CA
ZIP 94618-797
Phone: (415) 390-6725
Fax: (415) 390-6923

The NPI 1811370653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/29/2015 and was last updated on 3/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0814XPsychologistPsychoanalysis35403CALIFORNIANo
2103TC0700XPsychologistClinical35403CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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