PATHWAYS COMMUNITY SERIVCES LLC (NPI# 1467781013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467781013 |
| Entity Type | Organization |
| Organization Name | PATHWAYS COMMUNITY SERIVCES LLC |
| Other Organization Name | CYS PATHWAYS COMMUNITY SERVICES GARDEN GROVE |
| Practice Address |
12966 Euclid St 200, 240 and 280 Garden Grove CA 92840-5200 |
| Mailing Address |
12966 Euclid St 200, 240, and 280 Garden Grove CA 92840-5200 |
| Practice Telephone | 7148234770 |
| Practice Fax Number | 7148234777 |
| Mailing Telephone | 7148234770 |
| Mailing Fax Number | 7148234777 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | TRACY GINTER (LEAD BILLING MANAGER) |
| Authorized Official Telephone | 7145036880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER NUMBER 30EV | LEGAL ENTITY # 00801 | 01 |
| Other Name | Type Code |
|---|---|
| CYS Pathways Community Services Garden Grove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679618730 | Pathways Community Serivces LLC | Community/Behavioral Health | 1503 S Coast Dr, Suite 202, Costa Mesa, CA 92626-1534 | 2007-02-20 |
| 1386788990 | Pathways Community Serivces LLC | Community/Behavioral Health | 1633 E 4th St, Suite # 120 and 110, Santa Ana, CA 92701-5163 | 2007-02-16 |
| Street Address |
12966 EUCLID ST 200, 240 AND 280 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487768891 | Affiliated Doctors of Orange County | Health Maintenance Organization | 12966 Euclid St, 340, Garden Grove, CA 92840-5200 | 2006-08-19 |
| 1467974105 | Anne Cathryn Axelson | Counselor | 12966 Euclid St, Suite 280, Garden Grove, CA 92840 | 2017-07-14 |
| 1184039703 | Kathryn Koenig | Counselor | 12966 Euclid St, Garden Grove, CA 92840-5200 | 2014-06-23 |
| 1821417809 | Eric Hamilton | Counselor | 12966 Euclid St, Suite 280, Garden Grove, CA 92840-5200 | 2014-04-07 |
| 1881019123 | Individual | Community/Behavioral Health | 12966 Euclid St, Suite 280, Garden Grove, CA 92840-5200 | 2014-02-24 |
| 1831430784 | Patricia Eirich | Counselor | 12966 Euclid St, Suite 280, Garden Grove, CA 92840-5200 | 2013-03-01 |
| 1174876379 | Karla J. Dimas | Counselor | 12966 Euclid St, Suite 280, Garden Grove, CA 92840-5200 | 2012-10-25 |
| 1578835567 | Angie H Nguyen | Marriage & Family Therapist | 12966 Euclid St, Suite 280, Garden Grove, CA 92840-5200 | 2012-02-06 |
| 1730496704 | Raquel Zamora | Social Worker | 12966 Euclid St, Suite 280, Garden Grove, CA 92840-5200 | 2010-09-10 |
| 1629391263 | Michael Arn | Counselor | 12966 Euclid St, Garden Grove, CA 92840-5200 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780118646 | Karen Netherlain | Community/Behavioral Health | 10441 Stanford Ave, #659, Garden Grove, CA 92842-5200 | 2017-04-18 |
| 1679946552 | Korean Community Services Inc. | Community/Behavioral Health | 7281 Garden Grove Blvd Ste J, Garden Grove, CA 92841-4212 | 2015-11-02 |
| 1073861258 | Reach Behavior Services | Community/Behavioral Health | 13331 Garden Grove Blvd, Suite E, Garden Grove, CA 92843-2254 | 2012-08-20 |
| 1841335692 | College Community Services | Community/Behavioral Health | 11277 Garden Grove Blvd Ste 100, Garden Grove, CA 92843-1340 | 2007-02-20 |
| 1174610497 | Unidos Recovery Home | Community/Behavioral Health | 9842 13th St, Garden Grove, CA 92844-3171 | 2006-10-06 |
| 1508331042 | Special Service for Groups, Inc. | Community/Behavioral Health | 12900 Garden Grove Blvd Ste B225, Garden Grove, CA 92843-2040 | 2018-10-11 |
| 1811437874 | Mental Health Association of Orange County | Community/Behavioral Health | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2017-02-24 |
| 1326599218 | Boys & Girls Clubs of Garden Grove | Community/Behavioral Health | 10540 Chapman Ave, Garden Grove, CA 92840-3101 | 2016-10-17 |
| 1093189292 | Michael C. Cowick | Community/Behavioral Health | 12531 Harbor Blvd, G, Garden Grove, CA 92840-5824 | 2015-11-25 |
| 1598173346 | Rescare Behavior Services, Inc. | Community/Behavioral Health | 12900 Garden Grove Blvd, Suite 170, Garden Grove, CA 92843-2006 | 2014-07-24 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.