Organization Active NPI

Great Pathways Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Allen, TX
National Provider Identifier
1073226601
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GREAT PATHWAYS PSYCHIATRY PLLC
Practice address
1333 W McDermott Dr Ste 200
Allen, TX 75013-3089
Phone
(469) 564-4211
Fax
(469) 242-9719
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Rhoda Madamombe, NPNPI 1477131415
Title
Psychiatric Nurse Practitioner
Phone
(469) 564-4211

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1333 W McDermott Dr Ste 200
Allen, TX 75013-3089

Mailing address

1333 W McDermott Dr Ste 200
Allen, TX 75013-3089
Phone (469) 564-4211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1073226601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W MCDERMOTT DR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133089",
            "telephone_number": "469-564-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W MCDERMOTT DR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133089",
            "telephone_number": "469-564-4211",
            "fax_number": "469-242-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PATHWAYS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "MADAMOMBE",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-564-4211",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.