Path to Recovery Detox

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PATH TO RECOVERY DETOX

Practice address

3231 New York Dr
Pasadena, CA 91107-1504

Phone

(323) 413-2080

NPI assigned

Apr 24, 2017

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Del Lisenbee, CADC II, MA., MFTI

Title

Ceo / Co-Owner

Phone

(626) 224-8187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1437684834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403801",
            "telephone_number": "626-224-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 NEW YORK DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071504",
            "telephone_number": "323-413-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO RECOVERY DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "LISENBEE",
        "authorized_official_first_name": "DEL",
        "authorized_official_title_or_position": "CEO / CO-OWNER",
        "authorized_official_telephone_number": "626-224-8187",
        "authorized_official_credential": "CADC II, MA., MFTI"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nehal M Patel, MD
• Nikita Jignesh Patel
• Sonal Ramesh Patel, MD
• Wendy Shivam Patel
• Sherita Eunique Pates
• Pathology Associates of Arcadia
• Pathways to Speech
• Pathways to Speech LLC
• Denise Kimberly Patino, LMFT
• Joe Patlan

• Substance Abuse Rehabilitation Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.