Clear Path Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLEAR PATH PSYCHIATRY PLLC

Practice address

100 S 2ND St Ste B
Eagle Lake, MN 56024-7714

Phone

(507) 978-4543

NPI assigned

May 8, 2025

Organization subpart

No

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

Authorized official

Name

Alexandro Vasquez, NURSE PRACTITIONERNPI 1619313103

Title

Managing Partner - Owner

Phone

(507) 654-0020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandro Vasquez, D.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Mankato, MN
  • NPI 1619313103
  Medicare reassignment NPD Authorized official
• Jaimee Ann Kudrle, CNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madelia, MN
  • NPI 1891576260
  Medicare reassignment NPD

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1821888264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST STE B",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560247714",
            "telephone_number": "507-654-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST STE B",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560247714",
            "telephone_number": "507-978-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ALEXANDRO",
        "authorized_official_title_or_position": "MANAGING PARTNER - OWNER",
        "authorized_official_telephone_number": "507-654-0020",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Lake Chiropractic, PLLC
• Eagle Lake Family Dental, PLLC
• Eagle Lake Family Dentistry, P.a.
• Heartland Service Group
• Elena Marie Hernandez-Lee, RN

• Psychiatric/Mental Health Nurse Practitioner in Eagle Lake, MN
• Providers in Eagle Lake, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.