Axon TMS Terre Haute

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AXON TMS TERRE HAUTE

Doing business as

Axon TMS

Practice address

630 Wabash Ave Ste 209
Terre Haute, IN 47807-3280

Phone

(812) 648-0014

Fax

(812) 648-0024

NPI assigned

Feb 6, 2024

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

AXON HEALTH ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jerad Dalton, DONPI 1306835418

Title

Member

Phone

(812) 648-0014

Specialties & licenses 1

Addresses

Other names 1

• Axon TMS Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Axon Health Associates LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Axon Health Associates, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1033552310
  NPPES parent name

Practitioners 2

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.

• Jerad Michael Dalton, D.O.

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1306835418
  Medicare reassignment NPD Authorized official
• Autumn Sheese, NP

  • Primary Care Nurse Practitioner
  • Brazil, IN
  • NPI 1649459330
  Medicare reassignment NPD

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1497519995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 N MERIDIAN ST STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601832",
            "telephone_number": "317-818-9000",
            "fax_number": "317-818-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 WABASH AVE STE 209",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073280",
            "telephone_number": "812-648-0014",
            "fax_number": "812-648-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON TMS TERRE HAUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXON HEALTH ASSOCIATES, LLC",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JERAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-648-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axon TMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axon TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.