Axial Medical Center, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AXIAL MEDICAL CENTER, INC

Practice address

5190 NW 167TH St Ste 306
Miami Lakes, FL 33014-6338

Phone

(305) 627-5557

NPI assigned

Apr 3, 2019

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Pelegrin, RN, BSNNPI 1164256343

Title

Administrator

Phone

(305) 627-5557

Specialties & licenses 4

Addresses

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.

• Wendy Pelegrin, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1164256343
  NPD Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1720540214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 306",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "305-627-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 306",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "305-627-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "PELEGRIN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-627-5557",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea C Avila Ostos
• Miguel Avila
• Yaimet Avila
• Yvette Aviles, OTR/L
• Aviva Nursing Services Inc. (Mind and Mobility)
• Axle Medical Supply LLC
• Aye Counselor & Behavior Therapy Inc
• Nathalie Marie Ayes, APRN
• Ayg Family Solutions LLC
• B B Therapy Services Corp

• Mental Health Counselor in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.