Organization Active NPI

Therapeutic Pathways, S.C.

  • Community/Behavioral Health Agency
  • Pewaukee, WI
National Provider Identifier
1467602573
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2423-057 Issued in WI
Legal business name
THERAPEUTIC PATHWAYS, S.C.
Practice address
161 W Wisconsin Ave Ste 2C
Pewaukee, WI 53072-3467
Phone
(262) 925-0405
NPI assigned
Sep 25, 2008
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Gregg E Hintz, PSY. D.
Title
President Therapeutic Pathways, S.C
Phone
(262) 925-0425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2423-057 WI Primary

Addresses

Primary practice location

161 W Wisconsin Ave Ste 2C
Pewaukee, WI 53072-3467

Mailing address

PO Box 634
East Troy, WI 53120-0634
Phone (262) 925-0425

Other identifiers 1

IdentifierTypeStateIssuer
39137900MedicaidWI

National Provider Directory

National Provider Directory

Locations

161 W Wisconsin Ave
Ste 2C
Pewaukee, WI 53072
Phone (262) 925-0405

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1467602573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531200634",
            "telephone_number": "262-925-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W WISCONSIN AVE STE 2C",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723467",
            "telephone_number": "262-925-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC PATHWAYS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "HINTZ",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT THERAPEUTIC PATHWAYS, S.C",
        "authorized_official_telephone_number": "262-925-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2423-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39137900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.