Active NPI
Reid Axman, ED.S.
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1073781084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3870260
- Practice address
- 1617 S 67TH Ave
Phoenix, AZ 85043-7717 - Phone
- (623) 707-4500
- NPI assigned
- Feb 12, 2008
- Last updated
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3870260 | AZ | Primary |
Addresses
Primary practice location
1617 S 67TH Ave
Phoenix, AZ 85043-7717
Mailing address
7040 W St Charles Ave
Laveen, AZ 85339-5048
Phone (602) 605-8151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3870260 | AZ | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fowler Elementary School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1043438781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1073781084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7040 W ST CHARLES AVE",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853395048",
"telephone_number": "602-605-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 S 67TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850437717",
"telephone_number": "623-707-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXMAN",
"first_name": "REID",
"name_prefix": "Mr.",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3870260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.