NPIMap

Organization Active NPI

Pathways to Life, Inc.

  • Community/Behavioral Health Agency
  • Suffolk, VA
National Provider Identifier
1821356510
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1229 Issued in VA
Legal business name
PATHWAYS TO LIFE, INC.
Practice address
1510 Breezeport Way
Suite 100
Suffolk, VA 23435-3736
Phone
(252) 347-5996
Fax
(252) 413-0526
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Mr. Ontario Lamont Chappell, MS
Title
Ceo
Phone
(252) 347-6455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1229 VA Primary

Addresses

Primary practice location

1510 Breezeport Way
Suite 100
Suffolk, VA 23435-3736

Mailing address

1510 Breezeport Way
100
Suffolk, VA 23435-3736
Phone (252) 347-6455

National Provider Directory

National Provider Directory
Tax ID family
Pathways to Life Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1510 Breezeport Way
Ste 100
Suffolk, VA 23435
Phone (252) 347-5996

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1821356510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BREEZEPORT WAY",
            "address_2": "100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353736",
            "telephone_number": "252-347-6455",
            "fax_number": "252-413-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BREEZEPORT WAY",
            "address_2": "SUITE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353736",
            "telephone_number": "252-347-5996",
            "fax_number": "252-413-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "ONTARIO",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-347-6455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.