Organization Active NPI

Pathways Family Support Services

  • Community/Behavioral Health Agency
  • Spartanburg, SC
National Provider Identifier
1558727784
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS FAMILY SUPPORT SERVICES
Doing business as
Black Boys of Distinction
Practice address
150 Kensington Dr
Spartanburg, SC 29306-3983
Phone
(864) 595-0515
Fax
(864) 587-6409
NPI assigned
Jan 4, 2016
Organization subpart
Yes
Parent organization
PROMISED LAND COMMUNITY DEVELOPMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Mr. Tommy Quick
Title
Executive Director
Phone
(864) 978-7557

Specialties & licenses 1

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

Addresses

Primary practice location

150 Kensington Dr
Spartanburg, SC 29306-3983

Mailing address

PO Box 170066
Spartanburg, SC 29301-0021
Phone (864) 595-0515

Other names 1

  • Black Boys of Distinction Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Black Boys of Distinction2 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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1558727784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170066",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293010021",
            "telephone_number": "864-595-0515",
            "fax_number": "864-587-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENSINGTON DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063983",
            "telephone_number": "864-595-0515",
            "fax_number": "864-587-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS FAMILY SUPPORT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISED LAND COMMUNITY DEVELOPMENT CORPORATION",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-978-7557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Boys of Distinction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.