Axel Behavioral Health System LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

AXEL BEHAVIORAL HEALTH SYSTEM LLC

Practice address

20148 N Donithan Way
Maricopa, AZ 85138-2428

Phone

(480) 516-8103

NPI assigned

Apr 7, 2023

Organization subpart

No

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

Authorized official

Name

Carlson Taminang, RNNPI 1578292033

Title

Ceo

Phone

(480) 516-8103

Specialties & licenses 1

Addresses

Other names 1

• Axel Behavioral Health System LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlson Taminang, RN

  • Psychiatric Residential Treatment Facility
  • Maricopa, AZ
  • NPI 1578292033
  NPD Authorized official

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1124713995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20148 N DONITHAN WAY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382428",
            "telephone_number": "480-516-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20148 N DONITHAN WAY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382428",
            "telephone_number": "480-516-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXEL BEHAVIORAL HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "TAMINANG",
        "authorized_official_first_name": "CARLSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-516-8103",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axel Behavioral Health System LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Maricopa, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.