Axis Behavioral Health, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AXIS BEHAVIORAL HEALTH, LLC

Practice address

647 Hill Rd N
Unit B
Pickerington, OH 43147-9168

Phone

(614) 833-6900

Fax

(614) 833-6903

NPI assigned

Dec 30, 2010

Last updated

Aug 2, 2013By 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

Mr. William R Hargett, LPCC

Title

Owner

Phone

(614) 833-6900

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1801190137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 HILL RD N",
            "address_2": "UNIT B",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479168",
            "telephone_number": "614-833-6900",
            "fax_number": "614-833-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 HILL RD N",
            "address_2": "UNIT B",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479168",
            "telephone_number": "614-833-6900",
            "fax_number": "614-833-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-833-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "E0001639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Avers, CCC-SLP
• Zafar Ahmad Awan, MD
• Omotayo Amos Awosoji
• Hannibal Awungnjia, APRN.CNP
• Victor Mordecai Awuor, DO
• Sidra Saleem Ayoub
• Ashley Gayle Back
• Guerly Backer
• Monique Backus
• Scholastica Bagan

• Psychiatry Physician in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.