New Pathways Therapeutic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEW PATHWAYS THERAPEUTIC SERVICES

Practice address

4200 Forbes Blvd Ste 202
Lanham, MD 20706-4829

Phone

(301) 577-7390

Fax

(301) 577-7392

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elaine M. Wilson, LCSWC, LICSW

Title

Owner Ceo

Phone

(301) 577-7390

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1114125341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 GLENN DALE WOODS CT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699114",
            "telephone_number": "301-577-7390",
            "fax_number": "301-577-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 202",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064829",
            "telephone_number": "301-577-7390",
            "fax_number": "301-577-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PATHWAYS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "301-577-7390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSWC, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7154711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407234100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Lanham, MD
• Providers in Lanham, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.