Jeremy Axelrad, PHD is a
Psychologist - Clinical based in Shutesbury, Massachusetts. Jeremy Axelrad is licensed to practice in Massachusetts (license number 11568) and his current practice location is
296 Wendell Rd, Shutesbury, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(413) 225-1943.
NPI number for Jeremy Axelrad is 1619622263 and his current mailing address is 176 W 87th St # 11a, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619622263.
Healthcare Provider's Profile
| Full Name | Jeremy Axelrad |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 296 Wendell Rd, Shutesbury, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619622263
- Provider Enumeration Date: 02/12/2022
- Last Update Date: 08/03/2026
Medical Identifiers
Medical identifiers for Jeremy Axelrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619622263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 11568 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Axelrad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jeremy Axelrad, PHD 176 W 87th St # 11a, New York, NY 10024-2902 Ph: Not Available | Jeremy Axelrad, PHD 296 Wendell Rd, Shutesbury, MA 01072-9753 Ph: (413) 225-1943 |
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