Active NPI
Stephen N Axford, PH.D.
- Clinical Psychologist
- Woodland Park, CO
National Provider Identifier
1215350277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY0001777
- Practice address
- 321 W Henrietta Ave Ste B
Woodland Park, CO 80863-3145 - Phone
- (719) 499-4752
- NPI assigned
- Jan 28, 2014
- Last updated
- Apr 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY0001777 | CO | Primary |
Addresses
Primary practice location
321 W Henrietta Ave Ste B
Woodland Park, CO 80863-3145
Mailing address
PO Box 868
Woodland Park, CO 80866-0868
Phone (719) 499-4752
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 |
|---|---|---|---|
| PSY0001777 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1215350277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 868",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808660868",
"telephone_number": "719-499-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W HENRIETTA AVE STE B",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808633145",
"telephone_number": "719-499-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXFORD",
"first_name": "STEPHEN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY0001777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.