Pathfinder Associates, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

PATHFINDER ASSOCIATES, INC

Practice address

90 Sodom LN
Derby, CT 06418-2608

Phone

(203) 736-9133

Fax

(203) 736-9635

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Elaine Smith

Title

Administrator

Phone

(203) 736-9133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346459203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SODOM LN",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182608",
            "telephone_number": "203-736-9133",
            "fax_number": "203-736-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SODOM LN",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182608",
            "telephone_number": "203-736-9133",
            "fax_number": "203-736-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-736-9133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srihari Paidakula, M.D.
• Vivek Pandav, MD
• Jea Young Park
• Jennifer Passoni, DPT
• Vikalp Patel, MD
• Gabriel Gebhart Paul, MD
• Andrew John Paulson, MS, ANP-BC
• Mary Mascolo Pellitteri, LADC
• Melissa C. Perkins, LPC
• Hannah Rose Perlroth, APRN

• Intellectual Disabilities Intermediate Care Facility in Derby, CT
• Providers in Derby, CT by specialty
• Intellectual Disabilities Intermediate Care Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.