DR. JORDAN WILLIAM HAZZARD PSY.D.
NPI 1811370653
Psychologist - Clinical in Oakland, CA

Q: What is Jordan Hazzard's NPI number?

The NPI number for Jordan Hazzard is 1811370653. It was assigned to this individual provider in the NPPES registry on June 29, 2015. The provider is also known as Dr. Jordan William Hazzard Dr. Hazzard.

Q: What is Jordan Hazzard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Hazzard was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment

5297 COLLEGE AVE STE 107, OAKLAND, CA 94618(415) 316-3355(415) 390-6923 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Mar 17, 2025, Feb 11, 2025 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Jordan William Hazzard Psy.d. NPPES

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

DR. JORDAN WILLIAM HAZZARD PSY.D. (NPI 1811370653) is an individual clinical provider in Oakland, California, licensed in California (35403) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811370653

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JORDAN WILLIAM HAZZARDCredential: PSY.D.

Location Address5297 COLLEGE AVE STE 107Oakland, CA 94618-1797

Mailing Address5297 College Ave Ste 107Oakland, CA 94618-1797 · (415) 316-3355

Phone(415) 316-3355

Fax(415) 390-6923

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 29, 2015

Last NPPES UpdateMay 22, 20265 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1811370653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 35403

Definition

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.

Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X · License 35403 (CA)

5297 COLLEGE AVE STE 107, Oakland, CA 94618

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Other Names 1

Professional Name (2)Dr. Jordan William Hazzard Dr. Hazzard

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan William Hazzard Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406357524

PECOS Enrollment IDI20250829003328

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Hazzard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Attentive Cognitive And Mental Health Services Psychology Inc.

15 mi

Community/Behavioral Health

111 DEERWOOD RD STE 200
San Ramon, CA 94583

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1902427438 (415) 370-7884

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CASEY IRENE LOUGHRAN LCSW

Social Worker

5297 COLLEGE AVE STE 107
OAKLAND, CA 94618

Alameda County (650) 520-4240

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 Jordan Hazzard's NPI number?

The NPI number for Jordan Hazzard is 1811370653. It was assigned to this individual provider in the NPPES registry on June 29, 2015. The provider is also known as Dr. Jordan William Hazzard Dr. Hazzard.

Where is Jordan Hazzard located?

Jordan Hazzard practices at 5297 College Ave Ste 107, Oakland, CA 94618. The listed phone number is (415) 316-3355.

What is Jordan Hazzard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jordan Hazzard enrolled in Medicare?

Yes. Jordan Hazzard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jordan Hazzard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Hazzard reassigns Medicare benefits to Attentive Cognitive And Mental Health Services Psychology Inc. (San Ramon, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Hazzard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Hazzard was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.