NPIMap

Organization Active NPI

Pathlight Neuropsychiatric Center LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Plano, TX
National Provider Identifier
1982350203
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Practice address
5120 Legacy Dr Ste 150
Plano, TX 75024-3400
Phone
(877) 825-8584
NPI assigned
Feb 24, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Marina Shepel
Title
Contracting & Credentialing Manage
Phone
(425) 214-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X Primary

Addresses

Primary practice location

5120 Legacy Dr Ste 150
Plano, TX 75024-3400

Mailing address

7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083

National Provider Directory

National Provider Directory
Tax ID family
Pathlight Neuropsychiatric Center LLC8 organizations share this tax ID, including this one
Part of
Pathlight Neuropsychiatric Center LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5120 Legacy Dr
Ste 150
Plano, TX 75024

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1982350203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 E LOWRY BLVD STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 LEGACY DR STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243400",
            "telephone_number": "877-825-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHLIGHT NEUROPSYCHIATRIC CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHLIGHT NEUROPSYCHIATRIC CENTER LLC",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SHEPEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CONTRACTING  & CREDENTIALING MANAGE",
        "authorized_official_telephone_number": "425-214-9321"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.