NPIMap

Organization Active NPI

Axis for Autism LLC

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1619553963
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
AXIS FOR AUTISM LLC
Practice address
1645 E Missouri Ave Ste 320
Phoenix, AZ 85016-3035
Phone
(602) 888-8882
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Andrea Stevens
Title
Coo
Phone
(602) 413-5397

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1645 E Missouri Ave Ste 320
Phoenix, AZ 85016-3035

Mailing address

5844 E Lafayette Blvd
Phoenix, AZ 85018-4659

National Provider Directory

National Provider Directory
Tax ID family
Axis for Autism LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1645 E Missouri Ave
Ste 320
Phoenix, AZ 85016
Phone (515) 329-6241

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1619553963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 E LAFAYETTE BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 E MISSOURI AVE STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163035",
            "telephone_number": "602-888-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS FOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-413-5397"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.