Pathways Behavioral Health Network, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PATHWAYS BEHAVIORAL HEALTH NETWORK, LLC

Practice address

2601 Navistar Dr
Lisle, IL 60532-3679

Phone

(855) 910-0157

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Joan Mackniskas

Title

Sr Director of Net Revenue

Phone

(773) 213-0776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1891386116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NAVISTAR DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NAVISTAR DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323679",
            "telephone_number": "855-910-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS BEHAVIORAL HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "MACKNISKAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "SR DIRECTOR OF NET REVENUE",
        "authorized_official_telephone_number": "773-213-0776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anmol Patel, APN
• Charmi M Patel, O.D.
• Hiral Patel
• Krishma Dharesh Patel, PA-C
• Priyanka Patel
• Paul J. Capriotti, M.D.,S.C.
• Heather Paulis, MPT
• Pediatric Eye Specialists
• Kary Pekarek, LCSW
• Joseph Pepitone, MD

• Exclusive Provider Organization in Lisle, IL
• Providers in Lisle, IL by specialty
• Exclusive Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.