| Axis Integrated Mental Health | |
|
1444 S Potomac St Ste 220 Aurora CO 80012-4509 | |
| (720) 400-7025 | |
| (720) 400-7049 |
| Full Name | Axis Integrated Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1444 S Potomac St Ste 220, Aurora, Colorado |
| Authorized Official Name and Position | Christopher James Perez (CEO, CLINICAL DIRECTOR) |
| Authorized Official Contact | 7207204000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Integrated Mental Health 1444 S Potomac St Ste 220 Aurora CO 80012-4509 Ph: (720) 400-7025 | Axis Integrated Mental Health 1444 S Potomac St Ste 220 Aurora CO 80012-4509 Ph: (720) 400-7025 |
| NPI Number | 1669098778 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 4183048754 |
|---|---|
| Medicare Enrollment ID | O20200716001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669098778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Harmony E Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730118274 PECOS PAC ID: 3274763222 Enrollment ID: I20140313000779 |
| Provider Name | Deirdre B Fraller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386908861 PECOS PAC ID: 3971751496 Enrollment ID: I20170411002520 |
| Provider Name | Sarah Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902238041 PECOS PAC ID: 7911207733 Enrollment ID: I20191016002779 |
| Provider Name | Jennifer M Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508351503 PECOS PAC ID: 2668860586 Enrollment ID: I20211026003244 |
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