Organization Active NPI

Pathways Therapeutic Services Inc.

  • Behavior Analyst
  • Orland Park, IL
National Provider Identifier
1821494477
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1107031
Legal business name
PATHWAYS THERAPEUTIC SERVICES INC.
Practice address
15255 S 94TH Ave
Suite 500
Orland Park, IL 60462-3800
Phone
(815) 260-6422
Fax
(815) 806-7439
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Bridget Borrelli
Title
Ceo
Phone
(815) 260-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1107031 Primary

Addresses

Primary practice location

15255 S 94TH Ave
Suite 500
Orland Park, IL 60462-3800

Mailing address

PO Box 1006
Frankfort, IL 60423-7006
Phone (815) 260-6422

National Provider Directory

National Provider Directory
Tax ID family
Pathways Therapeutic Services Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1821494477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237006",
            "telephone_number": "815-260-6422",
            "fax_number": "815-806-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE",
            "address_2": "SUITE 500",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623800",
            "telephone_number": "815-260-6422",
            "fax_number": "815-806-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS THERAPEUTIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "BORRELLI",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-260-6422"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1107031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.