Organization
HAZELDEN NEW YORK
Active
Organization
HAZELDEN NEW YORK
Active
Parent organization
HAZELDEN NEW YORK
Other names
Tribeca Twelve
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAZELDEN NEW YORK
Authorized official
ASHLEY GIBSON (VP PAYER RELATIONS)
(651) 213-4519
Entity
Organization
Contact information
Practice address
283 W BROADWAY, NEW YORK, NY 10013-2204
(800) 257-7800
Mailing address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(800) 257-7800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
070411517
NY
Other
Enumeration date
06/08/2011
Last updated
05/16/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up