Active NPI
Pathway Youth & Family Services
- Health Maintenance Organization
- Milwaukee, WI
National Provider Identifier
1780016287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 16110-130
- Legal business name
- PATHWAY YOUTH & FAMILY SERVICES
- Practice address
- 4358 N 20TH St
335 W. Wright Street
Milwaukee, WI 53209-6839 - Phone
- (414) 324-4832
- NPI assigned
- Aug 7, 2013
- Last updated
- Aug 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda Richardson, LPCT,SAC
- Title
- Program Director
- Phone
- (414) 324-4832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 16110-130 | WI | Primary |
Addresses
Primary practice location
4358 N 20TH St
335 W. Wright Street
Milwaukee, WI 53209-6839
Mailing address
4358 N 20TH St
Milwaukee, WI 53209-6839
Phone (414) 324-4832
National Provider Directory
National Provider Directory- Tax ID family
- Pathway Youth Family Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Milwaukee, WI
- NPI 1659726545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375833600000",
"number": "1780016287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4358 N 20TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532096839",
"telephone_number": "414-324-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4358 N 20TH ST",
"address_2": "335 W. WRIGHT STREET",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532096839",
"telephone_number": "414-324-4832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY YOUTH & FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "414-324-4832",
"authorized_official_credential": "LPCT,SAC"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "WI",
"license": "16110-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.