Active NPI
Pathways
- Psychiatry Physician
- Marquette, MI
National Provider Identifier
1346874708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PATHWAYS
- Practice address
- 200 W Spring St
Marquette, MI 49855-4661 - Phone
- (906) 233-1236
- NPI assigned
- Feb 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura A Nelson
- Title
- Credentialing
- Phone
- (906) 233-1236
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
200 W Spring St
Marquette, MI 49855-4661
Mailing address
200 W Spring St
Marquette, MI 49855-4661
Phone (906) 233-1236
Other practice location 1
601 W Superior St
Munising, MI 49862-1328
Phone (906) 233-1236
Other practice location 2
14126 County Road 428
Newberry, MI 49868-6601
Phone (906) 233-1236
Other practice location 3
2500 7th Ave S Ste 100
Escanaba, MI 49829-1176
Phone (906) 233-1236
National Provider Directory
National Provider Directory- Tax ID family
- Pathways Community Mental Health
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Marquette, MI
- NPI 1457680357
-
- Adolescent and Children Mental Health Clinic/Center
- Marquette, MI
- NPI 1326127416
-
- Clinical Social Worker
- Marquette, MI
- NPI 1497616601
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Munising, MI
- NPI 1508025800
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newberry, MI
- NPI 1316106610
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Escanaba, MI
- NPI 1558520858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1346874708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W SPRING ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554661",
"telephone_number": "906-233-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SPRING ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554661",
"telephone_number": "906-233-1236"
}
],
"practiceLocations": [
{
"address_1": "601 W Superior St",
"address_purpose": "LOCATION",
"city": "Munising",
"state": "MI",
"postal_code": "498621328",
"country_code": "US",
"telephone_number": "906-233-1236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14126 County Road 428",
"address_purpose": "LOCATION",
"city": "Newberry",
"state": "MI",
"postal_code": "498686601",
"country_code": "US",
"telephone_number": "906-233-1236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 7th Ave S Ste 100",
"address_purpose": "LOCATION",
"city": "Escanaba",
"state": "MI",
"postal_code": "498291176",
"country_code": "US",
"telephone_number": "906-233-1236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PATHWAYS",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "906-233-1236"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.