AXIS PSYCHIATRIC SERVICES LLC
NPI 1457845182
Psychiatry & Neurology - Psychiatry in Salem, OR

Active since June 16, 2018
4035 12TH ST CUT OFF SE STE 140, SALEM, OR 97302(971) 304-9306(503) 371-2006 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2021, Oct 9, 2018, Jun 16, 2018 (3 updates tracked since 2018).

About Axis Psychiatric Services Llc NPPES

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

AXIS PSYCHIATRIC SERVICES LLC (NPI 1457845182) is a healthcare organization registered as a psychiatry in Salem, Oregon and active in the NPI registry since June 2018. The organization lists Tarra Leani Baker, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1457845182
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameAXIS PSYCHIATRIC SERVICES, LLC
Location Address4035 12TH ST CUT OFF SE STE 140Salem, OR 97302-1754
Mailing AddressPo Box 12926Salem, OR 97309-0926 · (615) 243-5407
Fax(503) 371-2006
Organization SubpartNo
Authorized OfficialTarra Leani BakerPsychiatric Nurse Practitioner · (615) 243-5407
Enumeration DateJune 16, 2018
Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1457845182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OR · 201701173NP-PP
Definition
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.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 201701173NP-PP (OR)
4035 12TH ST CUT OFF SE STE 140, Salem, OR 97302

Other Names 1

Other NameAxis Psychiatric Services Llc

Other Identifiers 1

Other1740736156OR · Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Axis Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Axis Psychiatric Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1740736156
1249 FAIRVIEW AVE SE
Salem, OR 97302
(971) 239-1146
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Axis Psychiatric Services, LLC's NPI number?

The NPI number for Axis Psychiatric Services, LLC is 1457845182. It was assigned to this organization in the NPPES registry on June 16, 2018. The provider is also known as Axis Psychiatric Services LLC.

Where is Axis Psychiatric Services, LLC located?

Axis Psychiatric Services, LLC is located at 4035 12th St Cut Off SE Ste 140, Salem, OR 97302. The listed phone number is (971) 304-9306.

What is Axis Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Axis Psychiatric Services, LLC enrolled in Medicare?

Yes. Axis Psychiatric Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Axis Psychiatric Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Axis Psychiatric Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Axis Psychiatric Services, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Axis Psychiatric Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Axis Psychiatric Services, LLC was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.