Active NPI
Productive Pathways Transitional Services, Inc
- Case Management Agency
- Titusville, FL
National Provider Identifier
1861054751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PRODUCTIVE PATHWAYS TRANSITIONAL SERVICES, INC
- Practice address
- 835 Sycamore St # H8
Titusville, FL 32780-7700 - Phone
- (321) 363-9333
- NPI assigned
- Jul 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dotralee McNeal, CBHCM102301
- Title
- Ceo/Executive Director
- Phone
- (321) 363-9333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
835 Sycamore St # H8
Titusville, FL 32780-7700
Mailing address
835 Sycamore St # H8
Titusville, FL 32780-7700
Phone (321) 363-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBHCM102301 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
835 Sycamore St
#H8
Titusville, FL 32780
Phone (321) 363-9333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Titusville, FL
- NPI 1639734767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561939200000",
"number": "1861054751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SYCAMORE ST # H8",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327807700",
"telephone_number": "321-363-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 SYCAMORE ST # H8",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327807700",
"telephone_number": "321-363-9333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRODUCTIVE PATHWAYS TRANSITIONAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A",
"authorized_official_last_name": "MCNEAL",
"authorized_official_first_name": "DOTRALEE",
"authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "321-363-9333",
"authorized_official_credential": "CBHCM102301"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CBHCM102301",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.