NPIMap

Organization Active NPI

Pathway Family Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1497862098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1400-0-ASR Issued in IN
Legal business name
PATHWAY FAMILY CENTER
Practice address
6405 Castleway CT.
Ste. 102
Indianapolis, IN 46250
Phone
(317) 585-6953
Fax
(586) 465-0109
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia Ehlert
Title
Claims Administrator
Phone
(248) 443-0105

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 630740 MI
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1400-0-ASR IN Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 12497 OH

Addresses

Primary practice location

6405 Castleway CT.
Ste. 102
Indianapolis, IN 46250

Mailing address

6405 Castleway CT.
Ste. 102
Indianapolis, IN 46250
Phone (317) 585-6953

Other identifiers 2

IdentifierTypeStateIssuer
20498OtherMIBCBSM
000000308672OtherINANTHEM BLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Kids Helping Kids a Pathway Family Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6405 Castleway Ct
Ste 102
Indianapolis, IN 46250
Phone (317) 585-6953

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497862098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 CASTLEWAY CT.",
            "address_2": "STE. 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-585-6953",
            "fax_number": "586-465-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 CASTLEWAY CT.",
            "address_2": "STE. 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-585-6953",
            "fax_number": "586-465-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EHLERT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CLAIMS ADMINISTRATOR",
        "authorized_official_telephone_number": "248-443-0105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "630740",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IN",
            "license": "1400-0-ASR",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "12497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "20498",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000308672",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.