NPIMap

Organization Active NPI

Pathway Youth & Famiy Services

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1659726545
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17485-130 Issued in WI
Legal business name
PATHWAY YOUTH & FAMIY SERVICES
Practice address
3879 N Port Washington Rd
Milwaukee, WI 53212-1180
Phone
(414) 324-4832
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Yolanda Richardson, MS,SACIT
Title
Director
Phone
(414) 324-4832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 17485-130 WI Primary

Addresses

Primary practice location

3879 N Port Washington Rd
Milwaukee, WI 53212-1180

Mailing address

4358 N 20TH St
Milwaukee, WI 53209-6839
Phone (414) 324-4832

Other identifiers 1

IdentifierTypeStateIssuer
1184947509MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Pathway Youth Family Services2 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.

Locations

3879 N Port Washington Rd
Milwaukee, WI 53212
Phone (414) 324-4832

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1659726545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 N 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096839",
            "telephone_number": "414-324-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 N PORT WASHINGTON RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121180",
            "telephone_number": "414-324-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY YOUTH & FAMIY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-324-4832",
        "authorized_official_credential": "MS,SACIT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "17485-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184947509",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

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