Axis One Behavioral Solutions a Professional Medical Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8875 Issued in LA

Legal business name

AXIS ONE BEHAVIORAL SOLUTIONS A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Axis One Behavioral Solutions

Practice address

4401 Veterans Memorial Blvd
Suite 201
Metairie, LA 70006-5340

Phone

(504) 875-2379

Fax

(504) 264-5590

NPI assigned

Jun 16, 2012

Last updated

Nov 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdul Majid Khan, MDNPI 1902123995

Title

Medical Director

Phone

(504) 875-2379

Specialties & licenses 1

Addresses

Other names 1

• Axis One Behavioral Solutions Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdul Mannan Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hammond, LA
  • NPI 1902123995
  NPD (past) Authorized official
• Emily Cleland

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1518506922
  NPD (past)
• Eleanor Allen Parrish, APRN,PMHNP-BC,FNP-C

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Port Allen, LA
  • NPI 1073934873
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1073876934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065340",
            "telephone_number": "504-875-2379",
            "fax_number": "504-264-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065340",
            "telephone_number": "504-875-2379",
            "fax_number": "504-264-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS ONE BEHAVIORAL SOLUTIONS A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "MAJID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-875-2379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis One Behavioral Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deiondra Elizabeth Aultman
• China Lamarva Jynee Austin
• Ellen R Austin, PHARMD
• Alyssa Autin
• Brianna Lea Autin
• Sara Rene Ayala
• Brandt Aymond, PA-C
• Kristen Marie Aymond
• Ali Hussein Ayoub, M.D.
• Trenell Ayro

• Clinical Social Worker in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.