Path for Change LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PATH FOR CHANGE LLC

Practice address

2502 E University Dr Ste 240
Phoenix, AZ 85034-6956

Phone

(512) 679-3381

NPI assigned

Jun 28, 2023

Last updated

Oct 27, 2023By 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

Claude Mujyanama

Title

Member

Phone

(512) 679-3381

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1609553080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E UNIVERSITY DR STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346956",
            "telephone_number": "512-679-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E UNIVERSITY DR STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346956",
            "telephone_number": "512-679-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "MUJYANAMA",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-679-3381"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishruti Patel, MD
• Vrinda Patel, DPM
• Yash Patel, M.D.
• Ronald E. Paterik, M.A.
• Kristian Sochurek Paterson, PTA
• Path to Progress
• Naeem Amanullah Pathan, M.D.
• Patheway Life
• Pathhealer, LTD
• Renuka Pathi, MD

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.