NPIMap

Organization Active NPI

Axis for Autism LLC

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1891546644
Registry record updated Mar 29, 2024
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
Fax
(602) 883-7254
NPI assigned
Mar 29, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AXIS FOR AUTISM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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) 888-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

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

Mailing address

1645 E Missouri Ave Ste 320
Phoenix, AZ 85016-3035
Phone (602) 888-8882

National Provider Directory

National Provider Directory
Tax ID family
Axis for Autism LLC7 organizations share this tax ID, including this one
Part of
Axis for Autism LLC

Other organizations with this tax ID 6

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1891546644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 E MISSOURI AVE STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163035",
            "telephone_number": "602-888-8882",
            "fax_number": "602-883-7254"
        },
        {
            "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",
            "fax_number": "602-883-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS FOR AUTISM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXIS FOR AUTISM LLC",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-888-8882"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-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 Mar 29, 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.