NPIMap

Organization Active NPI

Axis Mental Health, LLC

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1144747940
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
AXIS MENTAL HEALTH, LLC
Practice address
1230 W Santa Ana Blvd
Santa Ana, CA 92703-3835
Phone
(949) 501-5979
NPI assigned
Aug 23, 2017
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
AXIS MENTAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Darryle Mackelvey
Title
Supervisor
Phone
(714) 948-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1230 W Santa Ana Blvd
Santa Ana, CA 92703-3835

Mailing address

1230 W Santa Ana Blvd
Santa Ana, CA 92703-3835
Phone (714) 582-2714

National Provider Directory

National Provider Directory
Tax ID family
Axis Mental Health LLC6 organizations share this tax ID, including this one
Part of
Axis Mental Health LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1144747940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W SANTA ANA BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033835",
            "telephone_number": "714-582-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W SANTA ANA BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033835",
            "telephone_number": "949-501-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS MENTAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXIS MENTAL HEALTH, LLC",
        "enumeration_date": "2017-08-23",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "MACKELVEY",
        "authorized_official_first_name": "DARRYLE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-948-6086"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.