NPIMap

Organization Active NPI

Pathway Academy, LLC

  • Psychiatric Residential Treatment Facility
  • Layton, UT
National Provider Identifier
1174785737
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
14066 Issued in UT
Legal business name
PATHWAY ACADEMY, LLC
Doing business as
Solstice RTC, LLC
Practice address
1904 W Gordon Ave
Layton, UT 84041-7232
Phone
(801) 444-0794
Fax
(801) 444-0793
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Kyle S. Gillett, PH.D.
Title
Admissions and Marketing Director
Phone
(801) 444-0794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 14066 UT Primary

Addresses

Primary practice location

1904 W Gordon Ave
Layton, UT 84041-7232

Mailing address

PO Box 160623
Clearfield, UT 84016-0623
Phone (801) 444-0794

Other names 1

  • Solstice RTC, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1904 W Gordon Ave
Layton, UT 84041
Phone (801) 444-0794

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": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1174785737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160623",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840160623",
            "telephone_number": "801-444-0794",
            "fax_number": "801-444-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 W GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417232",
            "telephone_number": "801-444-0794",
            "fax_number": "801-444-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "GILLETT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMISSIONS AND MARKETING DIRECTOR",
        "authorized_official_telephone_number": "801-444-0794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "14066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solstice RTC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.