PATHWAYS PSYCHOLOGICAL SERVICES (NPI# 1689177990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689177990 |
| Entity Type | Organization |
| Organization Name | PATHWAYS PSYCHOLOGICAL SERVICES |
| Practice Address |
600 Clifty St Ste 4 Somerset KY 42503-1710 |
| Practice Telephone | 6064858484 |
| Practice Fax Number | 6064510222 |
| Mailing Telephone | 6064858484 |
| Mailing Fax Number | 6064510222 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | ANASTACIA M HUDGINS (LICENSED PSYCHOLOGIST, LPA) |
| Authorized Official Telephone | 6064858484 |
| Authorized Official Credential | PSYCHOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
KY | Ambulatory Health Care Facilities | |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1861932642 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Pathways Psychological Services LLC | 7102 Stanchion Lane, Burke, Virginia 22015 |
| New York State Corporations | PATHWAYS PSYCHOLOGICAL SERVICES PLLC | 114 West 47th Street, Suite 1712, New York, Ny 10036 |
| Colorado Business Entities | Pathways Psychological Services, LLP | 1401 Potter Drive, Suite 101, Colorado Springs, CO 80909 |
| Street Address |
600 CLIFTY ST STE 4 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607912 | Jesse L Windecker | Case Manager/Care Coordinator | 600 Clifty St Ste 4, Somerset, KY 42503-1710 | 2018-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083988919 | Specialized Alternatives for Families and Youth of Kentucky - Somerset | Clinic/Center | 3540 S Highway 27, Suite 4, Somerset, KY 42501-3026 | 2012-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336614072 | Jason Muzzillo, Pllc | Clinic/Center | 168 E Reynolds Rd Ste 210, Lexington, KY 40517-1365 | 2018-10-09 |
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1073941837 | Specialized Alternatives for Families and Youth of Kentucky - Elizabet | Clinic/Center | 708 Westport Rd Ste 102, Elizabethtown, KY 42701-2866 | 2013-10-14 |
| 1538378203 | Rape Victim Services, Inc. | Clinic/Center | 1605 N Friendship Rd, Paducah, KY 42001-8650 | 2007-05-21 |
| 1104966357 | The Arc of Owensboro Inc. | Clinic/Center | 731 Jackson Street, Owensboro, KY 42303 | 2007-02-07 |
| 1346899275 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-04 |
| 1336561265 | Couchimhc | Clinic/Center | 2415 Lime Kiln Ln, Suite B, Louisville, KY 40222-3429 | 2014-01-12 |
| 1720352651 | Specialized Alternatives for Families and Youth of Kentucky-louisville | Clinic/Center | 1169 Eastern Pkwy, Ste 3364, Louisville, KY 40217-1417 | 2012-02-23 |
| 1053692012 | Awareness and Discovery Group LLC | Clinic/Center | 2 Dortha Ave, Florence, KY 41042-2014 | 2011-09-06 |
| 1154579050 | Family Care Center Clinic | Clinic/Center | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2008-09-04 |
| Find all providers with the same taxonomy | ||||
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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.