Organization Active NPI

Axon Diagnostics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaverton, OR
National Provider Identifier
1184505166
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AXON DIAGNOSTICS
Practice address
10700 SW Beaverton Hillsdale Hwy Ste 565
Beaverton, OR 97005-3019
Phone
(971) 238-3615
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Dr. Caedy Janae Young Hildebrandt, PH.D.
Title
Psychologist
Phone
(971) 238-3615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10700 SW Beaverton Hillsdale Hwy Ste 565
Beaverton, OR 97005-3019

Mailing address

10700 SW Beaverton Hillsdale Hwy Ste 565
Beaverton, OR 97005-3019
Phone (971) 238-3615

National Provider Directory

National Provider Directory

Locations

10700 SW Beaverton Hillsdale Hwy
Ste 565
Beaverton, OR 97005
Phone (971) 238-3615

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1184505166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 565",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053019",
            "telephone_number": "971-238-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 565",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053019",
            "telephone_number": "971-238-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANDT",
        "authorized_official_first_name": "CAEDY",
        "authorized_official_middle_name": "JANAE YOUNG",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "971-238-3615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.