Organization Active NPI

Pathway Behavioral Health LLC

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1871326942
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PATHWAY BEHAVIORAL HEALTH LLC
Practice address
185 Devonshire St Ste 501
Boston, MA 02110-1415
Phone
(617) 334-5166
NPI assigned
Aug 23, 2024
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Dr. Reid Watson Kenary, PSYDNPI 1053152215
Title
Manager
Phone
(860) 916-0438

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)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

185 Devonshire St Ste 501
Boston, MA 02110-1415

Mailing address

33 Soley St Apt 2
Boston, MA 02129-3310
Phone (860) 916-0438

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1871326942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SOLEY ST APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021293310",
            "telephone_number": "860-916-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST STE 501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101415",
            "telephone_number": "617-334-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "KENARY",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-916-0438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.