Organization Active NPI

FSL Pathways

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1184780942
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
BH1185 Issued in AZ
Legal business name
FSL PATHWAYS
Practice address
4849 E Desert View Dr
Phoenix, AZ 85044-1225
Phone
(480) 496-0622
NPI assigned
Dec 28, 2006
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Charnise Moore, DRPH, MPH, CHC, CHRC
Title
Chief Program Officer
Phone
(602) 285-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X BH1185 AZ Primary

Addresses

Primary practice location

4849 E Desert View Dr
Phoenix, AZ 85044-1225

Mailing address

1201 E Thomas Rd
Phoenix, AZ 85014-5734
Phone (602) 285-1800

Other identifiers 2

IdentifierTypeStateIssuer
BH1185OtherAZADHS BHS LICENSE
346438MedicaidAZ

Other names 1

  • AGL Desert View Other name

National Provider Directory

National Provider Directory
Tax ID family
Allthrive365 BHS25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1184780942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145734",
            "telephone_number": "602-285-1800",
            "fax_number": "602-285-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 E DESERT VIEW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441225",
            "telephone_number": "480-496-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARNISE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "602-285-1800",
        "authorized_official_credential": "DRPH, MPH, CHC, CHRC"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH1185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS BHS LICENSE",
            "identifier": "BH1185",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346438",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGL Desert View",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.