Organization Active NPI

Empathic Pathways Psychology Inc.

  • Mental Health Counselor
  • Alpine, CA
National Provider Identifier
1639954928
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMPATHIC PATHWAYS PSYCHOLOGY INC.
Practice address
1399 Real Way LN
Alpine, CA 91901-3016
Phone
(619) 602-3464
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Mrs. Maila Elisa Wilson, LMFTNPI 1891430666
Title
Therapist
Phone
(619) 602-3464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1399 Real Way LN
Alpine, CA 91901-3016

Mailing address

1399 Real Way LN
Alpine, CA 91901-3016
Phone (619) 602-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250618004011 CA Part B Supplier - Clinic/Group Practice 3072024777 Receives reassigned benefits from 1 practitioner
Practice locations: Alpine, CA

National Provider Directory

National Provider Directory

Locations

2535 Alpine Blvd
Ste 2
Alpine, CA 91901
Phone (619) 722-0686

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1639954928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 REAL WAY LN",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013016",
            "telephone_number": "619-602-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 REAL WAY LN",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013016",
            "telephone_number": "619-602-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPATHIC PATHWAYS PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MAILA",
        "authorized_official_middle_name": "ELISA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "619-602-3464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.