Active NPI
Pax Psychiatric Associates, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Andover, MA
National Provider Identifier
1699389486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PAX PSYCHIATRIC ASSOCIATES, PLLC
- Practice address
- 300 Brickstone SQ Ste 201
Andover, MA 01810-1497 - Phone
- (978) 857-5317
- NPI assigned
- Aug 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanna Dixon, PMHNP
- Title
- Owner
- Phone
- (978) 857-5317
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary | ||
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X |
Addresses
Primary practice location
300 Brickstone SQ Ste 201
Andover, MA 01810-1497
Mailing address
22 Noel Rd
Andover, MA 01810-1329
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Andover, MA
- NPI 1750688321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1699389486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 NOEL RD",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BRICKSTONE SQ STE 201",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101497",
"telephone_number": "978-857-5317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAX PSYCHIATRIC ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-31",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "JOANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-857-5317",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "364SP0807X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.