NPIMap

Organization Active NPI

Pathways Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Oaks, CA
National Provider Identifier
1255941597
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PATHWAYS RECOVERY
Practice address
4904 Hollycrest Way
Fair Oaks, CA 95628-5114
Phone
(916) 735-8377
Fax
(877) 494-5088
NPI assigned
Aug 2, 2020
Last updated
Aug 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Authorized official

Name
Michael M Graham, MBA
Title
Compliance Manager
Phone
(916) 398-0729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

4904 Hollycrest Way
Fair Oaks, CA 95628-5114

Mailing address

PO Box 847
Folsom, CA 95763-0847
Phone (916) 735-8377

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pathwaysrecovery.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Pathways Recovery6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596326400000",
    "number": "1255941597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957630847",
            "telephone_number": "916-735-8377",
            "fax_number": "877-494-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 HOLLYCREST WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285114",
            "telephone_number": "916-735-8377",
            "fax_number": "877-494-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "916-398-0729",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pathwaysrecovery.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4904 Hollycrest Way",
            "city": "Fair Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956285114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.