Organization Active NPI

Yax and Associates Behavioral Health Services LLC

  • Clinical Social Worker
  • Rochester Hills, MI
National Provider Identifier
1255929204
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
YAX AND ASSOCIATES BEHAVIORAL HEALTH SERVICES LLC
Practice address
3102 Burlington Dr
Rochester Hills, MI 48306-3049
Phone
(248) 978-6983
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Mr. John V Yax III, LMSWNPI 1740562800
Title
LMSW
Phone
(248) 978-6983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3102 Burlington Dr
Rochester Hills, MI 48306-3049

Mailing address

3102 Burlington Dr
Rochester Hills, MI 48306-3049
Phone (248) 978-6983

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1255929204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 BURLINGTON DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063049",
            "telephone_number": "248-978-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 BURLINGTON DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063049",
            "telephone_number": "248-978-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAX AND ASSOCIATES BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "YAX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "248-978-6983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.