Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMY AXELRAD PHD
NPI 1619622263
Psychologist - Clinical in Shutesbury, MA

Active since February 12, 2022
296 WENDELL RD, SHUTESBURY, MA 01072(413) 225-1943 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Feb 12, 2022 (2 updates tracked since 2022).

About Jeremy Axelrad Phd NPPES

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

JEREMY AXELRAD PHD (NPI 1619622263) is an individual clinical provider in Shutesbury, Massachusetts, licensed in Massachusetts (11568) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1619622263
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJEREMY AXELRADCredential: PHD
Location Address296 WENDELL RDShutesbury, MA 01072-9753
Mailing Address176 W 87th St # 11aNew York, NY 10024-2902
Sole ProprietorYes
Enumeration DateFebruary 12, 2022
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
NPI 1619622263 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 MA · 11568
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.
296 WENDELL RD, Shutesbury, MA 01072

Accepted Insurance

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 Jeremy Axelrad's NPI number?

The NPI number for Jeremy Axelrad is 1619622263. It was assigned to this individual provider in the NPPES registry on February 12, 2022.

Where is Jeremy Axelrad located?

Jeremy Axelrad practices at 296 Wendell Rd, Shutesbury, MA 01072. The listed phone number is (413) 225-1943.

What is Jeremy Axelrad's specialty?

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

What insurance does Jeremy Axelrad accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeremy Axelrad 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 Jeremy Axelrad was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.