Active NPI
Pathways Unlimited, Inc
- Psychologist
- Stone Mountain, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2373
- Legal business name
- PATHWAYS UNLIMITED, INC
- Practice address
- 913 Main St Ste H
Stone Mountain, GA 30083-3096 - Phone
- (770) 413-1980
- Fax
- (770) 413-8118
- NPI assigned
- Mar 13, 2008
- Last updated
- Mar 13, 2008
- 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
- Dr. Monique Farr Gray, PH.D.
- Title
- Psychologist
- Phone
- (770) 413-1980
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2373 | GA | Primary |
Addresses
Primary practice location
913 Main St Ste H
Stone Mountain, GA 30083-3096
Mailing address
913 Main St Ste H
Stone Mountain, GA 30083-3096
Phone (770) 413-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
331 Arcado Rd NW
Ste B
Lilburn, GA 30047
Phone (678) 205-0877
913 Main St
Ste H
Stone Mountain, GA 30083
Phone (770) 413-1980
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychologist
- Stone Mountain, GA
- NPI 1891865317
-
- Mental Health Counselor
- Snellville, GA
- NPI 1285036848
-
- Clinical Child & Adolescent Psychologist
- Tucker, GA
- NPI 1356419790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1871764282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 MAIN ST STE H",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833096",
"telephone_number": "770-413-1980",
"fax_number": "770-413-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 MAIN ST STE H",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833096",
"telephone_number": "770-413-1980",
"fax_number": "770-413-8118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS UNLIMITED, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "MONIQUE",
"authorized_official_middle_name": "FARR",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "770-413-1980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "2373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.