Jeremy Axelrad, PHD
Psychologist, Clinical in Shutesbury, Massachusetts
1619622263- Practice location
- 296 Wendell RD, Shutesbury, MA 01072-9753
- Phone
- 413-225-1943
- Fax
- —
- Last updated
- August 3, 2026
Jeremy Axelrad is a Psychologist, Clinical based in Shutesbury, MA. Jeremy Axelrad practices in Shutesbury, MA and has the professional credentials of PHD. The NPI Number for Jeremy Axelrad is 1619622263 and holds a License No. 11568 (MA). The current practice location address for Jeremy Axelrad is 296 Wendell RD, Shutesbury, MA 01072-9753 and can be reached out via phone at 413-225-1943.
Provider Profile Details
- NPI Number
- 1619622263
- Provider Name
- Jeremy Axelrad
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 296 Wendell RD, Shutesbury, MA 01072-9753
- Phone Number
- 413-225-1943
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 12, 2022
- Last Update Date
- August 3, 2026
- Certification Date
- August 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 296 Wendell RD
Shutesbury, MA 01072-9753 - City
- Shutesbury
- State
- Massachusetts
- Zip
- 01072-9753
- Phone Number
- 413-225-1943
Provider Business Mailing Address Details
- Address
- 176 W 87TH St # 11A
New York, NY 10024-2902 - City
- New York
- State
- NY
- Zip
- 10024-2902
License Information
- License Number
- 11568
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeremy Axelrad, PHD?
The NPI number of Jeremy Axelrad, PHD is 1619622263. It was assigned on February 12, 2022 and is currently active in the NPPES registry.
What is the specialty of Jeremy Axelrad, PHD?
Jeremy Axelrad, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11568.
Where does Jeremy Axelrad, PHD practice?
The practice location is 296 Wendell RD, Shutesbury, MA 01072-9753. The office can be reached at 413-225-1943 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619622263 directly on the NPPES registry website.