Organization Active NPI

Pathways Autism Center LLC

  • Developmental Disabilities Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1215758560
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PATHWAYS AUTISM CENTER LLC
Practice address
2489 Rice St Ste 200
Saint Paul, MN 55113-0044
Phone
(651) 231-9914
NPI assigned
Oct 21, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Zakaria Gure
Title
Co-Owner
Phone
(651) 231-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

2489 Rice St Ste 200
Saint Paul, MN 55113-0044

Mailing address

2489 Rice St Ste 200
Saint Paul, MN 55113-0044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1215758560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 RICE ST STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551130044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 RICE ST STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551130044",
            "telephone_number": "651-231-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "GURE",
        "authorized_official_first_name": "ZAKARIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-231-9914"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

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