Active NPI
Therapeutic Pathways, S.C.
- Community/Behavioral Health Agency
- Pewaukee, WI
National Provider Identifier
1467602573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2423-057
- 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, 2008
- 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
- Dr. Gregg E Hintz, PSY. D.
- Title
- President Therapeutic Pathways, S.C
- Phone
- (262) 925-0425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39137900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.