P a T H Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

P A T H CENTER LLC

Practice address

75 Harness LN
Kissimmee, FL 34743-7705

Phone

(786) 886-8695

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Walter L RicardoNPI 1962930651

Title

President

Phone

(786) 886-8695

Specialties & licenses 1

Addresses

Practitioners 2

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

• Walter Luis Ricardo

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1962930651
  NPD Authorized official
• Karina Nunez

  • Behavior Analyst
  • Miami, FL
  • NPI 1972055044
  NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1518637396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 W 24TH AVE APT 206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164776",
            "telephone_number": "786-886-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HARNESS LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437705",
            "telephone_number": "786-886-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P A T H CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-886-8695"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Elizabeth Overstreet, LCSW
• Julia Veronica Owens, L.M.H.C.
• Nicole Owens, BEHAVIOR TECHNICIAN
• Sierra Owens
• Michelle S Ozcan, M.D.
• P C B Transport
• Rowena Pablico
• Ivelisse Pabon, BA
• Gisella Rosa Pachec0
• Diana Pacheco Aponte

• Community/Behavioral Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.