Organization Active NPI

Pathways Psychological Center, Inc

  • Clinical Psychologist
  • Merced, CA
National Provider Identifier
1801141007
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20834 Issued in CA
Legal business name
PATHWAYS PSYCHOLOGICAL CENTER, INC
Practice address
1180 W Olive Ave
Suite G
Merced, CA 95348-1900
Phone
(209) 722-1707
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Tania Marie Gonzalez, PH.D.
Title
Licensed Clinical Psychologist
Phone
(209) 722-1707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY20834 CA Primary

Addresses

Primary practice location

1180 W Olive Ave
Suite G
Merced, CA 95348-1900

Mailing address

1350B E Pacheco Blvd # 122
Los Banos, CA 93635-4938
Phone (209) 722-1707

National Provider Directory

National Provider Directory

Locations

1350 E Pacheco Blvd
Ste B
Los Banos, CA 93635

1350 E Pacheco Blvd
Ste B
Los Banos, CA 93635

1180 W Olive Ave
Ste G
Merced, CA 95348
Phone (209) 600-8832

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1801141007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350B E PACHECO BLVD # 122",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354938",
            "telephone_number": "209-722-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W OLIVE AVE",
            "address_2": "SUITE G",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481900",
            "telephone_number": "209-722-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS PSYCHOLOGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "209-722-1707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

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