FSL PATHWAYS (NPI# 1780740449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780740449 |
| Entity Type | Organization |
| Organization Name | FSL PATHWAYS |
| Other Organization Name | AGL - PECK |
| Practice Address |
8963 W Peck Dr Glendale AZ 85305-2440 |
| Mailing Address |
1201 E Thomas Rd Phoenix AZ 85014-5734 |
| Practice Telephone | 6238728944 |
| Mailing Telephone | 6022851800 |
| Mailing Fax Number | 6022851838 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANNETTE INIGUEZ (EXEC ASST) |
| Authorized Official Telephone | 6022850505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH1183 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS BHS LICENSE | BH1183 | 01 |
| AZ | 346420 | 05 |
| Other Name | Type Code |
|---|---|
| AGL - Peck | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922338227 | Fsl Pathways | Community/Behavioral Health | 916 E Watson Dr, Tempe, AZ 85283-3031 | 2010-01-08 |
| 1508092776 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 13629 N 21st Dr, Phoenix, AZ 85029-1502 | 2009-06-02 |
| 1467518985 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3916 W Evans Dr, Phoenix, AZ 85053-5454 | 2006-12-29 |
| 1790841229 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3367 W Surrey Ave, Phoenix, AZ 85029-1248 | 2006-12-29 |
| 1699831123 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3126 W Columbine Dr, Phoenix, AZ 85029-2326 | 2006-12-29 |
| 1538225289 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 9405 N 34th Pl, Phoenix, AZ 85028-4924 | 2006-12-28 |
| 1760548564 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3615 W Hearn Rd, Phoenix, AZ 85053-5521 | 2006-12-28 |
| 1659437317 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 613 W Plata Ave, Mesa, AZ 85210-8330 | 2006-12-28 |
| 1619033412 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 925 W Fogal Way, Tempe, AZ 85282-4727 | 2006-12-28 |
| 1811053663 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 14214 N 20th Way, Phoenix, AZ 85022-4682 | 2006-12-28 |
| Street Address |
8963 W PECK DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85305-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1447772835 | Trekfit LLC | Dietitian, Registered | 9033 West State Avenue, Glendale, AZ 85305 | 2017-07-07 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1124334933 | Marlana Angela Morrow | Pharmacist | 8990 W. Glendale Ave., Glendale, AZ 85305 | 2010-08-31 |
| 1750444261 | Norma Euyenia Quintero | Technician | 8950 W Sierra Vista, Glendale, AZ 85305 | 2006-12-18 |
| 1093232514 | O'lua Therapy LLC | Occupational Therapy Assistant | 9524 W Camelback Rd, Ste. C-130 Pmb 232, Glendale, AZ 85305 | 2017-08-25 |
| 1427325273 | Modern Dental Professionals-arizona PC | Dentist | 9230 W Northern Ave, 106, Glendale, AZ 85305-1100 | 2011-11-22 |
| 1134142409 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 9350 W Northern Ave, Glendale, AZ 85305-1103 | 2006-07-26 |
| Find all providers in zip 85305 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505054 | Joy Recovery and Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 24212 N 42nd Dr, Glendale, AZ 85310-3232 | 2020-03-31 |
| 1275163214 | Alpine Villa LLC | Community Based Residential Treatment Facility, Mental Illness | 17219 N Lindner Dr, Glendale, AZ 85308-3308 | 2020-01-17 |
| 1730607300 | Sonoran Sky Community, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5710 W Orchid Ln, Glendale, AZ 85302-4654 | 2017-09-05 |
| 1861932097 | Ska-shifra Facility | Community Based Residential Treatment Facility, Mental Illness | 7136 N 73rd Dr, Glendale, AZ 85303-2569 | 2017-03-07 |
| 1528504826 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4214 W Behrend Dr, Glendale, AZ 85308-2284 | 2017-01-10 |
| 1134665680 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4912 W Echo Ln, Glendale, AZ 85302-6315 | 2017-01-09 |
| 1588100036 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 8028 N 56th Ln, Glendale, AZ 85302-4661 | 2017-01-09 |
| 1679019129 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 19808 N 42nd Ave, Glendale, AZ 85308-2291 | 2017-01-09 |
| 1710423389 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3912 W Potter Dr, Glendale, AZ 85308-4605 | 2017-01-06 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| Find all providers in GLENDALE | ||||
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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.