Axis Psychiatric Services, LLC
Psychiatry & Neurology, Psychiatry in Salem, Oregon
1457845182- Practice location
- 4035 12TH St Cut Off SE Ste 140, Salem, OR 97302-1754
- Phone
- 971-304-9306
- Fax
- 503-371-2006
- Last updated
- January 5, 2021
Axis Psychiatric Services, LLC is a healthcare organization based in Salem, OR. The NPI number for Axis Psychiatric Services, LLC is 1457845182 and holds license No. 201701173NP-PP (OR). The current practice location address is 4035 12TH St Cut Off SE Ste 140, Salem, OR 97302-1754 and the office can be reached by phone at 971-304-9306 and by fax at 503-371-2006. The NPI was assigned on June 16, 2018 and the record was last updated in NPPES on January 5, 2021.
●Provider Profile Details
- NPI Number
- 1457845182
- Provider Name
- Axis Psychiatric Services, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- No
- Authorized Official
- Tarra Leani Baker, MSN, PMHNP, NP · Psychiatric Nurse Practitioner · 615-243-5407
- Enumeration Date
- June 16, 2018
- Last Update Date
- January 5, 2021
- Certification Date
- January 5, 2021
- NPI Status
- Active
- Other Names
- Axis Psychiatric Services LLC (Other Name)
◉Business Practice Location Address
- Address
- 4035 12TH St Cut Off SE Ste 140
Salem, OR 97302-1754 - City
- Salem
- State
- Oregon
- ZIP
- 97302-1754
- Country
- US
- Phone Number
- 971-304-9306
- Fax Number
- 503-371-2006
✉Business Mailing Address
- Address
- Po Box 12926
Salem, OR 97309-0926 - City
- Salem
- State
- OR
- ZIP
- 97309-0926
- Phone Number
- 615-243-5407
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Adult Mental Health | 261QM0850X | No | 201701173NP-PP | OR |
| Psychiatry & Neurology, Psychiatry 193400000X - Single Specialty Group | 2084P0800X | Yes | 201701173NP-PP | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?Frequently Asked Questions
What is the NPI number of Axis Psychiatric Services, LLC?
The NPI number of Axis Psychiatric Services, LLC is 1457845182. It was assigned on June 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Axis Psychiatric Services, LLC?
Axis Psychiatric Services, LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X) and holds license No. 201701173NP-PP (OR).
Where does Axis Psychiatric Services, LLC practice?
The practice location is 4035 12TH St Cut Off SE Ste 140, Salem, OR 97302-1754. The office can be reached at 971-304-9306 (phone) or 503-371-2006 (fax).
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 1457845182 directly on the NPPES registry website at npiregistry.cms.hhs.gov.