Axis Neuropsychological Services Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY8702 Issued in FL

Legal business name

AXIS NEUROPSYCHOLOGICAL SERVICES INC

Practice address

100 Miracle Mile
Coral Gables, FL 33134-5430

Phone

(305) 445-3222

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gina Patricia Salcedo-Samper, PSY.D.NPI 1548509979

Title

President

Phone

(786) 260-4212

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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

• Gina Patricia Salcedo-Samper, PSY.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1548509979
  Medicare reassignment Authorized official
• Eileen Christine Calderon, PSYD

  • Psychologist
  • Immokalee, FL
  • NPI 1437467776
  NPD (past)
• Noida Carazo, PSY.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1649630666
  NPD (past)
• Nora Dieguez, PH.D.

  • Psychologist
  • Coral Gables, FL
  • NPI 1104908508
  NPD (past)
• Frances Garcia Chavez, PSY.D.

  • Clinical Neuropsychologist
  • Coral Gables, FL
  • NPI 1497393607

  Single Specialty

  NPD (past)
• Norella S. Jubiz, PHD

  • Psychologist
  • Coral Gables, FL
  • NPI 1003331646

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1386985745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 WHITETHORN DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331664952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIRACLE MILE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345430",
            "telephone_number": "305-445-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS NEUROPSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "SALCEDO-SAMPER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-260-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY8702",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "PY8702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Averill
• Yaicel Avila Alfonso
• Irasel Avila Martin
• Avm Dentistry, PA
• Feyisola Olatunde Awonusonu, MD
• Adina Maria Ayala Rivera
• Diana M Ayala, D.D.S
• Gladys Patricia Ayala, M.D.
• Ysabel Cristina Aymerich, RD,LD/N
• Ayn United Corp

• Adult Mental Health Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.