Pathways Residential and Support Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PATHWAYS RESIDENTIAL AND SUPPORT SERVICES

Practice address

2528 Coldstream Dr
Fort Worth, TX 76123-1238

Phone

(817) 882-6237

Fax

(817) 882-6238

NPI assigned

Apr 3, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanette Wade

Title

Owner/Director

Phone

(817) 706-5360

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459641600000",
    "number": "1376906651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 COLDSTREAM DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231238",
            "telephone_number": "817-882-6237",
            "fax_number": "817-882-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 COLDSTREAM DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231238",
            "telephone_number": "817-882-6237",
            "fax_number": "817-882-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS RESIDENTIAL AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "817-706-5360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal Chandrakant Patel, M.D.
• Yagnik Patel
• Muralidhar Pathikonda, M.D.
• Pathways Adult Living Inc
• Pathways Counseling PLLC
• Pathways Unlimited LLC
• Pathways Unlimited, LLC
• Raju Amaregouda Patil, M.D., M.P.H.
• Yolanda Anne Patko, LPC
• Patmick LLC

• Mental Illness Community Based Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.