NPIMap

Organization Active NPI

Cognitive Pathways

  • Community/Behavioral Health Agency
  • Waukegan, IL
National Provider Identifier
1043690555
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180008203 Issued in IL
Legal business name
COGNITIVE PATHWAYS
Practice address
2504 Washington St
Suite 403
Waukegan, IL 60085-4983
Phone
(224) 733-1615
Fax
(224) 733-1620
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
David R Stiver, LCPC
Title
Director / Mental Health Therapist
Phone
(224) 733-1615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180008203 IL Primary

Addresses

Primary practice location

2504 Washington St
Suite 403
Waukegan, IL 60085-4983

Mailing address

2504 Washington St
Suite 403
Waukegan, IL 60085-4983
Phone (224) 733-1615

National Provider Directory

National Provider Directory

Locations

2504 Washington St
Ste 403
Waukegan, IL 60085
Phone (224) 733-1615

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1043690555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "SUITE 403",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "224-733-1615",
            "fax_number": "224-733-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "SUITE 403",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "224-733-1615",
            "fax_number": "224-733-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "STIVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR / MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "224-733-1615",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180008203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.