Active NPI
Michael Axelrod, PHD
- Psychologist
- Altoona, WI
National Provider Identifier
1215081930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2802-057
- Practice address
- 1451 Bluestem Blvd Ste E
Altoona, WI 54720-2619 - Phone
- (715) 514-0982
- NPI assigned
- Jan 22, 2007
- Last updated
- May 12, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2802-057 | WI | Primary |
Addresses
Primary practice location
1451 Bluestem Blvd Ste E
Altoona, WI 54720-2619
Mailing address
1451 Bluestem Blvd Ste E
Altoona, WI 54720-2619
Phone (715) 514-0982
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2802-057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadia Hospital Corp | Past | Accepting new patients | |
| Acadia Healthcare, Inc | Past | Accepting new patients | |
| Axelrod Consulting Services LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Axelrod Psychological Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Altoona, WI
- NPI 1912839168
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
-
- Psychiatric Hospital
- Bangor, ME
- NPI 1215940523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1215081930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 BLUESTEM BLVD STE E",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202619",
"telephone_number": "715-514-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 BLUESTEM BLVD STE E",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202619",
"telephone_number": "715-514-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXELROD",
"first_name": "MICHAEL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2802-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, WI
- Valerie Anderson, PTA
- Applied Behavioral Intervention Services, LLC (Abis, LLC)
- Assisted Living Concepts Inc (Oak Gardens)
- Autism and Behavior Center Inc
- Axelrod Consulting Services LLC (Axelrod Psychological Services)
- Annie J Bailey, CNM
- Melissa Lynn Barfknecht, CNA, CERTIFIED DOULA
- Emily Barquest, AU.D.
- Michele Lee Bauer, MD
- Beechwood Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.