Positive Pathways and Wellness Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

POSITIVE PATHWAYS AND WELLNESS CENTER

Practice address

28 Jonathan St
Hagerstown, MD 21740-4802

Phone

(240) 413-1255

Fax

(301) 576-8573

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Alexandra BoursiquotNPI 1245752278

Title

Owner

Phone

(240) 413-1255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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.

• Alexandra Boursiquot

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
  • NPI 1245752278

  DC

  Medicare reassignment NPD Authorized official
• Adesola Adefowoju

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1518713668

  DC

  Medicare reassignment

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1679313761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 GELDING LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JONATHAN ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404802",
            "telephone_number": "240-413-1255",
            "fax_number": "301-576-8573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Gelding Ln",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321735",
            "country_code": "US",
            "telephone_number": "240-413-1255",
            "fax_number": "301-576-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POSITIVE PATHWAYS AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BOURSIQUOT",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-413-1255"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ever Ivan Ponciano, M.D.
• Ashley Marie Pondo, CRNP
• Milad L Pooran, M.D.
• Kristi Pope
• Richard Joseph Porac, D.D.S.
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• Potomac Family Medicine
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• Psychiatric/Mental Health Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.