Pathways to Self-Determination LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PATHWAYS TO SELF-DETERMINATION LLC

Practice address

237 N Old Woodward Ave Ste 5
Birmingham, MI 48009-5305

Phone

(248) 723-7152

Fax

(248) 723-7162

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Janet Patterson

Title

Executive Director

Phone

(248) 723-7152

Specialties & licenses 2

Addresses

Tax ID family

Pathways to Self Determination2 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.

• Pathways to Self Determination

  • Mental Illness Community Based Residential Treatment Facility
  • Birmingham, MI
  • NPI 1952681751
  NPD tax ID

Locations

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1750634291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 N OLD WOODWARD AVE STE 5",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095305",
            "telephone_number": "248-723-7152",
            "fax_number": "248-723-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N OLD WOODWARD AVE STE 5",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095305",
            "telephone_number": "248-723-7152",
            "fax_number": "248-723-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO SELF-DETERMINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-723-7152"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra W Parker, MSW
• Adam Taylor Parsons, DDS
• Judith Marie Paskiewicz, PHD
• Paul Paskiewicz, PH.D.
• Pathways to Self Determination
• Pathways to Wellness LLC
• Patrice Duquette M.D.P.C.
• Shannon Patterson-Williams
• Paul Paskiewicz, PH.D., P.C.
• Robert Pereira, PHD

• Mental Illness Community Based Residential Treatment Facility in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.