JILLEN B. AXELROD PHD
NPI 1083104442
Psychologist - Clinical in New York, NY

Q: What is Jillen Axelrod's NPI number?

The NPI number for Jillen Axelrod is 1083104442. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Q: What is Jillen Axelrod's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jillen Axelrod was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2018

96 5TH AVE APT 1D, NEW YORK, NY 10011(212) 505-1963 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jillen B. Axelrod Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLEN B. AXELROD PHD (NPI 1083104442) is an individual clinical provider in New York, New York, licensed in New York (006539) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1083104442

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJILLEN B. AXELRODCredential: PHD

Location Address96 5TH AVE APT 1DNew York, NY 10011-7604

Mailing Address96 5th Ave Apt 1dNew York, NY 10011-7604 · (212) 505-1963

Phone(212) 505-1963

Sole ProprietorYes

Enumeration DateMay 11, 2018

✔ NPI 1083104442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 006539

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

96 5TH AVE APT 1D, New York, NY 10011

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillen Axelrod's NPI number?

The NPI number for Jillen Axelrod is 1083104442. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Jillen Axelrod located?

Jillen Axelrod practices at 96 5th Ave Apt 1D, New York, NY 10011. The listed phone number is (212) 505-1963.

What is Jillen Axelrod's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jillen Axelrod was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.