NPI 1831220920 · live from the CMS NPI Registry
Philip Kenneth Axtell, PhD
Psychologist in Knoxville, TN. National Provider Identifier 1831220920, active.
NPI record
| NPI | 1831220920 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2210 Sutherland Ave Ste 114, Knoxville, TN 37919 |
| Practice phone | 865-556-8947 |
| Enumerated | March 8, 2007 |
| Last updated | September 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School | 103TS0200X | P2763 (TN) |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 2763 (TN) |
| Psychologist primary | 103T00000X | 2763 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.