NPIMap

Organization Active NPI

Pathway Forensic Services, Inc.

  • Addiction (Substance Use Disorder) Psychologist
  • Frankfort, IL
National Provider Identifier
1790589364
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
PATHWAY FORENSIC SERVICES, INC.
Practice address
21020 S 80TH Ave
Frankfort, IL 60423-9186
Phone
(888) 343-8042
Fax
(888) 343-8043
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Ricardo Williams, DSWNPI 1831946821
Title
Chief Clinical Officer
Phone
(708) 543-9739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU Primary

Addresses

Primary practice location

21020 S 80TH Ave
Frankfort, IL 60423-9186

Mailing address

21020 S 80TH Ave
Frankfort, IL 60423-9186
Phone (888) 343-8042

Other names 1

  • NA Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1790589364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21020 S 80TH AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239186",
            "telephone_number": "888-343-8042",
            "fax_number": "888-343-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 S 80TH AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239186",
            "telephone_number": "888-343-8042",
            "fax_number": "888-343-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY FORENSIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "708-543-9739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.