Pathway Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PATHWAY MENTAL HEALTH

Practice address

11 McLeod LN
Madisonville, KY 42431-3650

Phone

(270) 245-2413

Fax

(877) 302-0536

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Candace Hack, PMHNPNPI 1407445059

Title

President

Phone

(270) 245-2413

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Martina Hack, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Madisonville, KY
  • NPI 1407445059
  Medicare reassignment NPD Authorized official
• Kayla Boyd, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madisonville, KY
  • NPI 1710665385

  Single Specialty

  Medicare reassignment NPD
• Eva Kaytlin Duncan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madisonville, KY
  • NPI 1659193423
  Medicare reassignment NPD
• Michelle Konstantinidis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Madisonville, KY
  • NPI 1851457238
  Medicare reassignment NPD

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1982378436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MCLEOD LN",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313650",
            "telephone_number": "270-245-2413",
            "fax_number": "877-302-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MCLEOD LN",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313650",
            "telephone_number": "270-245-2413",
            "fax_number": "877-302-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "HACK",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-245-2413",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Pate, CRNA
• Deepa Patel, MD
• Kevin Patel, MD
• Rahul Kanaiyalal Patel, MD
• Vivien Navin Patel, PHARMD
• Joshua Thaddeus Payne, CRNA
• Pebble Creek Family Dentistry, P.L.L.C.
• Pediatric Health Group PSC
• Tammy Pellegrini
• Heather Rae Pendley

• Psychiatric/Mental Health Nurse Practitioner in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.