HAZELDEN NEW YORK
NPI 1912064635
Clinic/Center - Rehabilitation, Substance Use Disorder in New York, NY

Active since January 02, 2007CLIA 33D2072074 · Waiver
322 8TH AVE, 12TH FLOOR, NEW YORK, NY 10001(800) 257-7810(212) 420-9664 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hazelden New York NPPES

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

HAZELDEN NEW YORK (NPI 1912064635) is a healthcare organization registered as a rehabilitation, substance use disorder in New York, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael Ranum, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912064635
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameHAZELDEN NEW YORK
Location Address322 8TH AVE, 12TH FLOORNew York, NY 10001-8001
Mailing Address322 8th Ave, 12th FloorNew York, NY 10001-8001 · (800) 257-7810 · Fax (212) 420-9664
Fax(212) 420-9664
Organization SubpartNo
Authorized OfficialMichael RanumCfo · (651) 213-4724
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1912064635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
322 8TH AVE, New York, NY 10001

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2072074

Hazelden New York · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2072074
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 24, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Stanislov Vorel
Laboratory Phone(212) 420-9520
Laboratory LocationHazelden New York322 8th Ave - 12th Floor, New York, NY 10001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
322 8TH AVE
NEW YORK, NY 10001
Counselor (Mental Health)
322 8TH AVE
NEW YORK, NY 10001
Social Worker (Clinical)
322 8TH AVE, #802
NEW YORK, NY 10001
Counselor (Addiction (Substance Use Disorder))
322 8TH AVE
NEW YORK, NY 10001
Social Worker
322 8TH AVE
NEW YORK, NY 10001
Counselor (Mental Health)
322 8TH AVE, SUITE 802
NEW YORK, NY 10001
Counselor (Mental Health)
322 8TH AVE
NEW YORK, NY 10001
Social Worker
322 8TH AVE
NEW YORK, NY 10001

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 Hazelden New York's NPI number?

The NPI number for Hazelden New York is 1912064635. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Hazelden New York located?

Hazelden New York is located at 322 8th Ave 12th Floor, New York, NY 10001. The listed phone number is (800) 257-7810.

What is Hazelden New York's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Hazelden New York hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2072074) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hazelden New York was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.