Active NPI
Pathway Provider Services PC
- Mental Health Counselor
- Oak Park, IL
National Provider Identifier
1366575623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James A Quandt, LCSW MSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.