Organization Active NPI

Pathway to Peace, LLC

  • Community/Behavioral Health Agency
  • Vernon, CT
National Provider Identifier
1659811040
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001209 Issued in CT
Legal business name
PATHWAY TO PEACE, LLC
Practice address
201 Regan Rd Apt 33a
Vernon, CT 06066-2861
Phone
(860) 916-1816
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dennis Tomczak, MSW, LADC, CCJPNPI 1053842658
Title
Owner
Phone
(860) 916-1816

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
Community/Behavioral Health Agency 251S00000X 001209 CT Primary

Addresses

Primary practice location

201 Regan Rd Apt 33a
Vernon, CT 06066-2861

Mailing address

201 Regan Rd Apt 33a
Vernon, CT 06066-2861
Phone (860) 916-1816

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1659811040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 REGAN RD APT 33A",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662861",
            "telephone_number": "860-916-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REGAN RD APT 33A",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662861",
            "telephone_number": "860-916-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO PEACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "TOMCZAK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-916-1816",
        "authorized_official_credential": "MSW, LADC, CCJP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.