NPIMap

Organization Active NPI

Star Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beavercreek, OH
National Provider Identifier
1073016440
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STAR PATHWAYS
Practice address
70 Birch Aly Ste 240
Beavercreek, OH 45440-1477
Phone
(866) 975-7469
NPI assigned
Mar 13, 2018
Last updated
Sep 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
STAR PATHWAYSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mrs. Yvette Dorsey-Benson, RNNPI 1083928386
Title
Ceo
Phone
(866) 975-7469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

70 Birch Aly Ste 240
Beavercreek, OH 45440-1477

Mailing address

70 Birch Aly Ste 240
Beavercreek, OH 45440-1477

Other practice location 1

60 Lawrence Ave
Miamisburg, OH 45342
Phone (513) 755-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414002552 OH Part B Supplier - Clinic/Group Practice 8325434558 Receives reassigned benefits from 1 practitioner
Practice locations: Beavercreek, OH

National Provider Directory

National Provider Directory
Tax ID family
Star Pathways2 organizations share this tax ID, including this one
Part of
Star Pathways

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1073016440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401477",
            "telephone_number": "866-975-7469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "45342",
            "country_code": "US",
            "telephone_number": "513-755-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR PATHWAYS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR PATHWAYS",
        "enumeration_date": "2018-03-13",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "DORSEY-BENSON",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-975-7469",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.