Organization Active NPI

Pathways Psychological Services

  • Adolescent and Children Mental Health Clinic/Center
  • Somerset, KY
National Provider Identifier
1689177990
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PATHWAYS PSYCHOLOGICAL SERVICES
Practice address
600 Clifty St Ste 4
Somerset, KY 42503-1710
Phone
(606) 485-8484
Fax
(606) 451-0222
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Anastacia M Hudgins, PSYCHOLOGIST
Title
Licensed Psychologist, Lpa
Phone
(606) 485-8484

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X KY
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

600 Clifty St Ste 4
Somerset, KY 42503-1710

Mailing address

600 Clifty St Ste 4
Somerset, KY 42503-1710
Phone (606) 485-8484

Other identifiers 1

IdentifierTypeStateIssuer
1861932642MedicaidKY

National Provider Directory

National Provider Directory

Locations

600 Clifty St
Ste 4
Somerset, KY 42503
Phone (606) 451-0200

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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1689177990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031710",
            "telephone_number": "606-485-8484",
            "fax_number": "606-451-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031710",
            "telephone_number": "606-485-8484",
            "fax_number": "606-451-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "ANASTACIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, LPA",
        "authorized_official_telephone_number": "606-485-8484",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861932642",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.