Organization Active NPI

Pathways Behavioral Center, LLC

  • Psychiatry Physician
  • Kenner, LA
National Provider Identifier
1003138884
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD020750 Issued in LA
Legal business name
PATHWAYS BEHAVIORAL CENTER, LLC
Practice address
3715 Williams Blvd
Suite 102
Kenner, LA 70065-3075
Phone
(504) 252-3337
Fax
(504) 305-1066
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lori A Borne, MS
Title
Owner
Phone
(504) 252-3337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 3086 LA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X MD020750 LA Primary

Addresses

Primary practice location

3715 Williams Blvd
Suite 102
Kenner, LA 70065-3075

Mailing address

3715 Williams Blvd
Suite 102
Kenner, LA 70065-3075
Phone (504) 252-3337

National Provider Directory

National Provider Directory

Locations

3715 Williams Blvd
Ste 102
Kenner, LA 70065
Phone (504) 252-3337

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1003138884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 WILLIAMS BLVD",
            "address_2": "SUITE 102",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653075",
            "telephone_number": "504-252-3337",
            "fax_number": "504-305-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WILLIAMS BLVD",
            "address_2": "SUITE 102",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653075",
            "telephone_number": "504-252-3337",
            "fax_number": "504-305-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS BEHAVIORAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-252-3337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "LA",
            "license": "3086",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD020750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.