NPIMap

Organization Active NPI

Pathway Partners Youth and Development Services

  • Adolescent and Children Mental Health Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1073300554
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PATHWAY PARTNERS YOUTH AND DEVELOPMENT SERVICES
Practice address
5905 Coquina Key Dr Apt F
Indianapolis, IN 46224-8085
Phone
(765) 617-6031
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Mr. Cameron WhiteNPI 1770394785
Title
Owner
Phone
(765) 617-6031

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

5905 Coquina Key Dr Apt F
Indianapolis, IN 46224-8085

Mailing address

5905 Coquina Key Dr Apt F
Indianapolis, IN 46224-8085
Phone (765) 617-6031

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1073300554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 COQUINA KEY DR APT F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248085",
            "telephone_number": "765-617-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 COQUINA KEY DR APT F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248085",
            "telephone_number": "765-617-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY PARTNERS YOUTH AND DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-617-6031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.