Organization Active NPI

Pathtaker

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Judsonia, AR
National Provider Identifier
1164244653
Registry record updated Oct 28, 2024
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
PATHTAKER
Practice address
883 Donnie Stevens Rd
Judsonia, AR 72081-9235
Phone
(501) 365-1127
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Peter Romano, LPCNPI 1003540725
Title
Ceo
Phone
(501) 365-1127

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 Primary

Addresses

Primary practice location

883 Donnie Stevens Rd
Judsonia, AR 72081-9235

Mailing address

883 Donnie Stevens Rd
Judsonia, AR 72081-9235

Other practice location 1

510 W Arch Ave
Searcy, AR 72143-5204
Phone (501) 365-1127

Other practice location 2

1925 W Beebe Capps Expy
Searcy, AR 72143-5012
Phone (501) 365-1127

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": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1164244653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 DONNIE STEVENS RD",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720819235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 DONNIE STEVENS RD",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720819235",
            "telephone_number": "501-365-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W Arch Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721435204",
            "country_code": "US",
            "telephone_number": "501-365-1127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 W Beebe Capps Expy",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721435012",
            "country_code": "US",
            "telephone_number": "501-365-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHTAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-365-1127",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Judsonia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.