Active NPI
New Pathways Therapeutic Services, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lanham, MD
National Provider Identifier
1144429291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NEW PATHWAYS THERAPEUTIC SERVICES, INC.
- Practice address
- 4200 Forbes Blvd Ste 202
Lanham, MD 20706-4829 - Phone
- (301) 577-7390
- Fax
- (301) 577-7392
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4200 Forbes Blvd Ste 202
Lanham, MD 20706-4829
Mailing address
5120 Glenn Dale Woods CT
Glenn Dale, MD 20769-9114
Phone (301) 577-7390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407988400 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
4200 Forbes Blvd
Ste 202
Lanham, MD 20706
Phone (301) 577-7390
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Sherwood, AR
- NPI 1346486834
-
- Child & Adolescent Psychiatry Physician
- Washington, DC
- NPI 1790964831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184630400000",
"number": "1144429291",
"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, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"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": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407988400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.