NPIMap

Organization Active NPI

Therapeutic Pathways

  • Clinical Social Worker
  • Naugatuck, CT
National Provider Identifier
1477897304
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006261 Issued in CT
Legal business name
THERAPEUTIC PATHWAYS
Practice address
175 Church St
Suite 202
Naugatuck, CT 06770-4180
Phone
(203) 723-8546
Fax
(203) 723-9250
NPI assigned
Nov 15, 2012
Last updated
Feb 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Authorized official

Name
Michael Mackniak, ESQ.
Title
Partner/Owner
Phone
(203) 723-4332

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 006261 CT Primary

Addresses

Primary practice location

175 Church St
Suite 202
Naugatuck, CT 06770-4180

Mailing address

175 Church St
Suite 202
Naugatuck, CT 06770-4180
Phone (203) 723-8546

Other names 1

  • Therapeutic Pathways Other name

National Provider Directory

National Provider Directory

Locations

175 Church St
Ste 202
Naugatuck, CT 06770
Phone (203) 723-8546

175 Church St
Ste 302
Naugatuck, CT 06770
Phone (203) 723-8546

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393113600000",
    "number": "1477897304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CHURCH ST",
            "address_2": "SUITE 202",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704180",
            "telephone_number": "203-723-8546",
            "fax_number": "203-723-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CHURCH ST",
            "address_2": "SUITE 202",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704180",
            "telephone_number": "203-723-8546",
            "fax_number": "203-723-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2014-02-23",
        "status": "A",
        "authorized_official_last_name": "MACKNIAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "203-723-4332",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Pathways",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.