Pride Pathways Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRIDE PATHWAYS PROGRAM

Practice address

770 S Grand Ave Apt 2062
Los Angeles, CA 90017-3931

Phone

(310) 602-7586

NPI assigned

Jan 25, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenton Lipscomb

Title

Chair Person

Phone

(256) 345-9006

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1023870094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 W PICO BLVD # 967",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193451",
            "telephone_number": "323-200-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S GRAND AVE APT 2062",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173931",
            "telephone_number": "310-602-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE PATHWAYS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_title_or_position": "CHAIR PERSON",
        "authorized_official_telephone_number": "256-345-9006"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette R. Price, MD
• Shaniessa L. Prichett
• Patricia Ann Prickett, M.A., L.M.F.T.
• Pride Health Services (Pride Health Services Vermont)
• Pride Health Services, Inc.
• Gordon Priedeman, PSY.D.
• Misa Priest
• Nneamaka Ajalla Priest, MD
• Claudia Z Prieto, B.A.
• Cristabell Prieto

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.