Prefrontal Pathways, Inc

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

PREFRONTAL PATHWAYS, INC

Practice address

9222 Overlook Dr
Temple Terrace, FL 33617-5422

Phone

(813) 388-8711

Fax

(239) 356-3752

NPI assigned

Sep 5, 2025

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nupur Godbole Kroger, MDNPI 1699330944

Title

Geriatric Psychiatrist

Phone

(813) 388-8711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Nupur Godbole Kroger, MD

  • Geriatric Psychiatry Physician
  • Temple Terrace, FL
  • NPI 1699330944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1598645822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-388-8711",
            "fax_number": "239-356-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-388-8711",
            "fax_number": "239-356-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFRONTAL PATHWAYS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "KROGER",
        "authorized_official_first_name": "NUPUR",
        "authorized_official_middle_name": "GODBOLE",
        "authorized_official_title_or_position": "GERIATRIC PSYCHIATRIST",
        "authorized_official_telephone_number": "813-388-8711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeisha L Porter, PA-C
• Sara Anderson Powell, PSY.D.
• PR Medical Center PLC
• PR Medical Center PLC (PR Medical Center)
• Preferred Injury Physicians of Temple Terrace
• Ranae Dawn Preseau, ARNP
• Vivian Munhos Preuss
• Jonaphine Price
• PRN Health Services, PC (CenTex Vaccinations)
• Charles Procuniar, NP

• Geriatric Psychiatry Physician in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.