AXON PSYCHIATRY – NPI #1265031603
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

AXON PSYCHIATRY is a psychiatry & neurologist located in NARBERTH, PA. NPPES has assigned the NPI number 1265031603 to AXON PSYCHIATRY on October 17, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AXON PSYCHIATRY” is a dba name, the actual legal business name for this organization is CENTER FOR INTEGRATIVE PSYCHIATRY AND NEUROMODULATION, PLLC. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 2 years ago on Mar 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AXON PSYCHIATRY below.

NPI Profile for
CENTER FOR INTEGRATIVE PSYCHIATRY AND NEUROMODULATION, PLLC

NPI Number
1265031603
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER FOR INTEGRATIVE PSYCHIATRY AND NEUROMODULATION, PLLC
Doing Business As (dba): AXON PSYCHIATRY
Primary location
822 MONTGOMERY AVE STE 207
NARBERTH, PA 19072-1946
Phone: (215) 565-1005 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - AXON PSYCHIATRY is subpart of another organization.
Authorized Official
FREDERICK STODDARD
CEO
Phone: (215) 292-4007
Updated
Certification Date
Mar 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.