KIMBERLY HAZEN
NPI 1144162686
Psychologist - School in Roseburg, OR

Active since April 06, 2026
1409 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470(541) 440-4777 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Hazen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY HAZEN (NPI 1144162686) is an individual school provider in Roseburg, Oregon, licensed in Oregon (142037) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1144162686
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameKIMBERLY HAZEN
Location Address1409 NE DIAMOND LAKE BLVDRoseburg, OR 97470-3347
Mailing Address2336 Richardson RdMyrtle Creek, OR 97457-9752 · (541) 604-9475
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
NPI 1144162686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in OR · 142037
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
1409 NE DIAMOND LAKE BLVD, Roseburg, OR 97470

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1409 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Psychologist (School)
1409 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Counselor (Mental Health)
1409 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Hazen's NPI number?

The NPI number for Kimberly Hazen is 1144162686. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Kimberly Hazen located?

Kimberly Hazen practices at 1409 NE Diamond Lake Blvd, Roseburg, OR 97470. The listed phone number is (541) 440-4777.

What is Kimberly Hazen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Kimberly Hazen was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.