NPIMap

Organization Active NPI

Azevedo Inc

Doing business as The Pathway Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tempe, AZ
National Provider Identifier
1225209380
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AZEVEDO INC
Doing business as
The Pathway Program
Practice address
4820 S. Mill Ave.
Suite 101
Tempe, AZ 85282
Phone
(480) 921-4080
Fax
(480) 921-2673
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Mr. Joshua Azevedo, L.I.S.A.C.NPI 1356517676
Title
Executive Director
Phone
(480) 921-4050

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4820 S. Mill Ave.
Suite 101
Tempe, AZ 85282

Mailing address

4820 S. Mill Ave
Suite 101
Tempe, AZ 85282
Phone (480) 921-4050

Other names 1

  • The Pathway Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Azevedo Inc Dba the Pathway Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4820 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 921-4080

Practitioners & affiliated clinicians

Practitioners 2

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1225209380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 S. MILL AVE",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-921-4050",
            "fax_number": "480-921-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 S. MILL AVE.",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-921-4080",
            "fax_number": "480-921-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZEVEDO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "AZEVEDO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-921-4050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.I.S.A.C."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pathway Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pathway Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.