PATHWAYS OF ARIZONA, LLC (NPI# 1336632496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336632496 |
| Entity Type | Organization |
| Organization Name | PATHWAYS OF ARIZONA, LLC |
| Practice Address |
2830 W Glendale Ave Phoenix AZ 85051 |
| Mailing Address |
1161 N El Dorado Pl Tucson AZ 85715-4607 |
| Practice Telephone | 6024554626 |
| Mailing Telephone | 5207487108 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | NANCY POE (CONTRACTS ADMINISTRATOR) |
| Authorized Official Telephone | 5205701460 |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAYS HEALTH AND COMMUNITY SUPPORT,LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 000285 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457645038 | Pathways of Arizona, LLC | Clinic/Center | 3818 W. 16th St, Yuma, AZ 85364 | 2011-06-01 |
| 1336249291 | Pathways of Arizona, LLC | Clinic/Center | 3295 W Ina Rd, Suite 150 & 200, Tucson, AZ 85741 | 2006-09-22 |
| 1275845646 | Pathways of Arizona, LLC | Clinic/Center | 1161 N El Dorado Pl, Suite 103, Tucson, AZ 85715 | 2010-07-13 |
| Street Address |
2830 W GLENDALE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588704647 | Julie K Andersen | Occupational Therapist | 2830 W Glendale Ave, Suite 28, Phoenix, AZ 85051-8400 | 2007-02-07 |
| 1740599018 | Child & Family Resources, Inc | Speech-Language Pathologist | 2830 W Glendale Ave, Suite28, Phoenix, AZ 85051-8400 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1225664881 | Julie Morton Lcsw-c, LLC | Clinic/Center | 13604 Bardon Rd, Phoenix, MD 21131-1518 | 2020-03-16 |
| 1922569805 | Uptown Psychiatry LLC | Clinic/Center | 1130 E Missouri Ave Ste 580, Phoenix, AZ 85014-2729 | 2019-03-25 |
| 1982163549 | Amore Aware LLC | Clinic/Center | 6900 E Princess Dr Unit 1214, Phoenix, AZ 85054-4110 | 2019-03-13 |
| 1356805816 | Arizonas New Hope | Clinic/Center | 10000 N 31st Ave Ste D304g, Phoenix, AZ 85051-9582 | 2019-01-29 |
| 1306331509 | Native American Connections | Clinic/Center | 4520 N Central Ave Ste 380, Phoenix, AZ 85012-7815 | 2018-06-29 |
| 1194135152 | Connectionsaz, LLC | Clinic/Center | 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 | 2014-04-30 |
| 1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
| Find all providers in PHOENIX | ||||
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| 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.