Organization Active NPI

P.a.T.H.S. PRP

  • Community/Behavioral Health Agency
  • Towson, MD
National Provider Identifier
1710555933
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
P.A.T.H.S. PRP
Practice address
100 E Pennsylvania Ave Ste 202
Towson, MD 21286-0700
Phone
(443) 895-4360
NPI assigned
Jun 14, 2021
Organization subpart
Yes
Parent organization
PHOENIX ALIGHTING THERAPEUTIC HEALING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Joan Murray
Title
Operations Manager
Phone
(443) 845-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 E Pennsylvania Ave Ste 202
Towson, MD 21286-0700

Mailing address

100 E Pennsylvania Ave Ste 202
Towson, MD 21286-0700
Phone (443) 895-4360

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Alighting Therapeutic Healing Services2 organizations share this tax ID, including this one
Part of
Phoenix Alighting Therapeutic Healing Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1710555933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E PENNSYLVANIA AVE STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212860700",
            "telephone_number": "443-895-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E PENNSYLVANIA AVE STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212860700",
            "telephone_number": "443-895-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A.T.H.S. PRP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX ALIGHTING THERAPEUTIC HEALING SERVICES",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "443-845-2331"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.