Organization Active NPI

Lead Way Behavioral Services

  • Community/Behavioral Health Agency
  • Pasadena, CA
National Provider Identifier
1326591090
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEAD WAY BEHAVIORAL SERVICES
Practice address
177 E Colorado Blvd # 200
Pasadena, CA 91105-1986
Phone
(626) 374-0306
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Dr. Li Wei Wong, BCBA-D
Title
Executive Clinical Director
Phone
(626) 374-0306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

177 E Colorado Blvd # 200
Pasadena, CA 91105-1986

Mailing address

177 E Colorado Blvd # 200
Pasadena, CA 91105-1986
Phone (626) 374-0306

National Provider Directory

National Provider Directory

Locations

177 E Colorado Blvd
Ste 200
Pasadena, CA 91105
Phone (844) 699-7827

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1326591090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 E COLORADO BLVD # 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051986",
            "telephone_number": "626-374-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E COLORADO BLVD # 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051986",
            "telephone_number": "626-374-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD WAY BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LI WEI",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "626-374-0306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.