Pathway Az LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PATHWAY AZ LLC

Practice address

5060 N 19TH Ave Ste 206
Phoenix, AZ 85015-3212

Phone

(207) 409-6515

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Aimee Nyirakanyana

Title

Owner

Phone

(207) 409-6515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1497485015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "207-409-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "NYIRAKANYANA",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-409-6515"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patheway Life
• Pathhealer, LTD
• Renuka Pathi, MD
• Pathology Specialist of Arizona, LLP
• Patricia Parzyck Pathuis, LCSW
• Pathway to Peace Psychotherapy PLLC
• Pathway Youth and Family Services LLC
• Pathways Assisted Living LLC
• Pathways to Recovery LLC
• Pathways to Resilience. LLC

• All providers in Phoenix, AZ
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.