Organization Active NPI

Path to Wellness Dba

  • Community/Behavioral Health Agency
  • Prospect Heights, IL
National Provider Identifier
1467849893
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180009660 Issued in IL
Legal business name
PATH TO WELLNESS DBA
Practice address
701 Piper LN
Prospect Heights, IL 60070-3613
Phone
(847) 636-9836
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Ms. Diana Ruiz, MANPI 1053796870
Title
Clinical Counselor/Psychotherapist
Phone
(847) 636-9836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180009660 IL Primary

Addresses

Primary practice location

701 Piper LN
Prospect Heights, IL 60070-3613

Mailing address

6232 N Pulaski Rd
Chicago, IL 60646-5132

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1467849893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PIPER LN",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600703613",
            "telephone_number": "847-636-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO WELLNESS DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-636-9836",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180009660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.