Organization Active NPI

Pathway Provider Services PC

  • Mental Health Counselor
  • Oak Park, IL
National Provider Identifier
1366575623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHWAY PROVIDER SERVICES PC
Practice address
810 Harrison St
Oak Park, IL 60304
Phone
(708) 445-9330
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James A Quandt, LCSW MSWNPI 1699948737
Title
President
Phone
(708) 383-0065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

810 Harrison St
Oak Park, IL 60304

Mailing address

810 Harrison St
Oak Park, IL 60304
Phone (708) 383-0065

Other names 1

  • Pathway Provider Services Ltd Former legal business name

National Provider Directory

National Provider Directory

Locations

810 Harrison St
Oak Park, IL 60304
Phone (708) 445-9330

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366575623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60304",
            "telephone_number": "708-383-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60304",
            "telephone_number": "708-445-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY PROVIDER SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUANDT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-383-0065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathway Provider Services Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • 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.