DR. PHILIP KENNETH AXTELL (NPI# 1831220920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831220920 |
| Entity Type | Individual |
| Full Name | DR. PHILIP KENNETH AXTELL |
| Credential | PHD |
| Practice Address |
200 Prosperity Drive Knoxville TN 37923 |
| Mailing Address |
1000 Bretton Ridge Ln Knoxville TN 37919-8721 |
| Practice Telephone | 8658242762 |
| Mailing Telephone | 8655566092 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2763 | TN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2763 | TN | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
P2763 | TN | Behavioral Health & Social Service Providers |
| Street Address |
200 PROSPERITY DRIVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740843168 | Frank Harrill Pittenger | Psychologist | 5401 Kingston Pike Ste 420, Knoxville, TN 37919-5004 | 2019-04-22 |
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| 1265978936 | Stephanie Spencer Carroll | Psychologist | 340 Suburban Rd, Knoxville, TN 37923-5800 | 2017-01-18 |
| 1376099689 | Victor Wood Barr | Psychologist | 1904 Grenada Blvd, Knoxville, TN 37922-6316 | 2016-08-27 |
| 1780939108 | Kevin Clark Blanton | Psychologist | 4006 Sutherland Ave, Knoxville, TN 37919-5103 | 2012-07-23 |
| 1508166869 | Janet Beth Winn | Psychologist | 1521 Armiger Ln, Knoxville, TN 37932-2488 | 2010-11-02 |
| 1881901361 | Jaima Elizabeth Walton | Psychologist | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4720 | 2010-09-07 |
| 1902041791 | Psychoeducational Network | Psychologist | 7417 Kingston Pike Ste 103, Knoxville, TN 37919-5616 | 2008-12-08 |
| 1104080795 | Frances Lee Palin | Psychologist | 5410 Homberg Dr Ste 22a, Knoxville, TN 37919-5029 | 2008-07-14 |
| 1831377753 | Summers Kimbrough Mcmurray | Psychologist | 325 Ebeneezer Rd, Knoxville, TN 37923 | 2008-02-01 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on DR. PHILIP KENNETH AXTELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.