John V Yax III, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089069 Issued in MI

Practice address

18 Market St Ste C
Mount Clemens, MI 48043-7403

Phone

(586) 783-2222

NPI assigned

Sep 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yax and Associates Behavioral Health Services LLC

  • Clinical Social Worker
  • Rochester Hills, MI
  • NPI 1255929204
  NPD Authorized official

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1740562800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151167",
            "telephone_number": "586-619-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARKET ST STE C",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437403",
            "telephone_number": "586-783-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAX",
        "first_name": "JOHN",
        "middle_name": "V",
        "name_suffix": "III",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Madison Wright
• Katherine Michele Wu, DO
• Stephen Say Wu, DO
• Bradley Wylie
• Hussein Yassine, DDS
• Firas Yazigi, M.D.
• Eugene C Yen, D.O.
• Steven Richard Yester Jr., D.O.
• Rachel Young, D.O.
• Sibin K Zacharias, MD

• Clinical Social Worker in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.