AVERY AXEL PSYD
NPI 1922534619
Psychologist - Clinical in Philadelphia, PA
About Avery Axel Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERY AXEL PSYD (NPI 1922534619) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS018896) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Palos Verdes, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Avery Axel Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Avery Axel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19147
- Reassigned Medicare billing, Pennsylvania enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19147
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 Avery Axel's NPI number?
The NPI number for Avery Axel is 1922534619. It was assigned to this individual provider in the NPPES registry on May 2, 2017.
Where is Avery Axel located?
Avery Axel practices at 525 S 4th St Ste 471, Philadelphia, PA 19147. The listed phone number is (267) 861-3685.
What is Avery Axel's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Avery Axel enrolled in Medicare?
Yes. Avery Axel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Avery Axel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Avery Axel reassigns Medicare benefits to Equilibria Mental Health Services (Philadelphia, PA). The 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 Avery Axel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Avery Axel was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Avery Axel, PSYD · NPI 1922534619
Clinical provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 2, 2017.
## Identity
- **NPI:** 1922534619 (Entity type: Individual)
- **Enumerated:** May 2, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS018896 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 S 4TH ST STE 471, Philadelphia, PA 19147-1582
- **Phone:** (267) 861-3685
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Equilibria Mental Health Services (NPI 1225792872, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922534619) · Data from the CMS NPPES public registry.