NPIMap

Organization Active NPI

Innovative Pathways Inc.

  • Community/Behavioral Health Agency
  • San Leandro, CA
National Provider Identifier
1407000896
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNOVATIVE PATHWAYS INC.
Practice address
14895 E 14TH St
Suite 465
San Leandro, CA 94578-2922
Phone
(510) 206-2030
Fax
(510) 346-7101
NPI assigned
Nov 11, 2008
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Mrs. Bahrig Mikaelian, MA
Title
Executive Director
Phone
(510) 206-2030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

14895 E 14TH St
Suite 465
San Leandro, CA 94578-2922

Mailing address

1534 Plaza LN
Suite 358
Burlingame, CA 94010-3204
Phone (510) 206-2030

National Provider Directory

National Provider Directory

Locations

1534 Plaza Ln
Burlingame, CA 94010
Phone (415) 662-3838

14895 E 14th St
Ste 465
San Leandro, CA 94578
Phone (510) 346-7100

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1407000896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 PLAZA LN",
            "address_2": "SUITE 358",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103204",
            "telephone_number": "510-206-2030",
            "fax_number": "650-259-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14895 E 14TH ST",
            "address_2": "SUITE 465",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782922",
            "telephone_number": "510-206-2030",
            "fax_number": "510-346-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PATHWAYS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MIKAELIAN",
        "authorized_official_first_name": "BAHRIG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-206-2030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.