NPIMap

Organization Active NPI

Pathways of Arizona, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1336249291
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
OTC6491 Issued in AZ
Legal business name
PATHWAYS OF ARIZONA, LLC
Practice address
3295 W Ina Rd
Suite 150 & 200
Tucson, AZ 85741
Phone
(520) 744-4376
Fax
(520) 579-1138
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Nancy Poe
Title
Credentialing Manager
Phone
(520) 570-1460

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH-3602 AZ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OTC6491 AZ Primary

Addresses

Primary practice location

3295 W Ina Rd
Suite 150 & 200
Tucson, AZ 85741

Mailing address

1161 N El Dorado PL Ste 203
Tucson, AZ 85715-4607
Phone (520) 748-7108

Other identifiers 1

IdentifierTypeStateIssuer
000285MedicaidAZ

Other names 1

  • CLARVIDA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000985 AZ Part B Supplier - Clinic/Group Practice 3173718152 Receives reassigned benefits from 19 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ; Yuma, AZ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clarvida3 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

139 W Cottonwood Ln
Ste 108
Casa Grande, AZ 85122
Phone (520) 421-7401

2830 W Glendale Ave
Phoenix, AZ 85051
Phone (602) 455-4626

1161 N El Dorado Pl
Ste 103
Tucson, AZ 85715
Phone (520) 748-7108

3295 W Ina Rd
Ste 200
Tucson, AZ 85741

3250 E 40th St
#C
Yuma, AZ 85365
Phone (928) 317-0177

3220 E 40th St
Ste A
Yuma, AZ 85365
Phone (928) 317-0177

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1336249291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N EL DORADO PL STE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-748-7108",
            "fax_number": "520-745-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 W INA RD",
            "address_2": "SUITE 150 & 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-744-4376",
            "fax_number": "520-579-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "520-570-1460"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH-3602",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC6491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000285",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARVIDA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLARVIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.