Active NPI
New Neuro Pathways
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Port Deposit, MD
National Provider Identifier
1033894290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NEW NEURO PATHWAYS
- Practice address
- 1906 Red Toad Rd
Port Deposit, MD 21904-1528 - Phone
- (360) 356-4545
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Austin Malinowski
- Title
- Biofeedback Practioner
- Phone
- (360) 356-4545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1906 Red Toad Rd
Port Deposit, MD 21904-1528
Mailing address
1906 Red Toad Rd
Port Deposit, MD 21904-1528
Phone (360) 356-4545
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686787200000",
"number": "1033894290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 RED TOAD RD",
"city": "PORT DEPOSIT",
"state": "MD",
"postal_code": "219041528",
"telephone_number": "360-356-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 RED TOAD RD",
"city": "PORT DEPOSIT",
"state": "MD",
"postal_code": "219041528",
"telephone_number": "360-356-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW NEURO PATHWAYS",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A",
"authorized_official_last_name": "MALINOWSKI",
"authorized_official_first_name": "AUSTIN",
"authorized_official_title_or_position": "BIOFEEDBACK PRACTIONER",
"authorized_official_telephone_number": "360-356-4545"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Deposit, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.