NPIMap

Organization Active NPI

Compassion Pathway Behavioral Health LLC

Doing business as Carlson Springs ARF

  • Mental Illness Community Based Residential Treatment Facility
  • Diamond Springs, CA
National Provider Identifier
1326830878
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COMPASSION PATHWAY BEHAVIORAL HEALTH LLC
Doing business as
Carlson Springs ARF
Practice address
4241 Carlson Way
Diamond Springs, CA 95619-9200
Phone
(530) 888-0000
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Dr. Ifeanyi EzeaniNPI 1598447542
Title
Chief Executive Officer
Phone
(530) 888-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

4241 Carlson Way
Diamond Springs, CA 95619-9200

Mailing address

5410 White Lotus Way
Elk Grove, CA 95757-4354
Phone (530) 888-5000

Other names 1

  • Carlson Springs ARF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compassion Pathway Behavioral Health LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1326830878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 WHITE LOTUS WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574354",
            "telephone_number": "530-888-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 CARLSON WAY",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199200",
            "telephone_number": "530-888-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION PATHWAY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "EZEANI",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "530-888-5000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlson Springs ARF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

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