FSL PATHWAYS (NPI# 1619033412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619033412 |
| Entity Type | Organization |
| Organization Name | FSL PATHWAYS |
| Other Organization Name | AGL - FOGAL |
| Practice Address |
925 W Fogal Way Tempe AZ 85282-4727 |
| Mailing Address |
1201 E Thomas Rd Phoenix AZ 85014-5734 |
| Practice Telephone | 4809677304 |
| Mailing Telephone | 6022851800 |
| Mailing Fax Number | 6022851838 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANNETTE INIGUEZ (EXEC ASST) |
| Authorized Official Telephone | 6022850505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH1184 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS BHS LICENSE | BH1184 | 01 |
| AZ | 346404 | 05 |
| Other Name | Type Code |
|---|---|
| AGL - Fogal | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922338227 | Fsl Pathways | Community/Behavioral Health | 916 E Watson Dr, Tempe, AZ 85283-3031 | 2010-01-08 |
| 1508092776 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 13629 N 21st Dr, Phoenix, AZ 85029-1502 | 2009-06-02 |
| 1467518985 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3916 W Evans Dr, Phoenix, AZ 85053-5454 | 2006-12-29 |
| 1790841229 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3367 W Surrey Ave, Phoenix, AZ 85029-1248 | 2006-12-29 |
| 1699831123 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3126 W Columbine Dr, Phoenix, AZ 85029-2326 | 2006-12-29 |
| 1780740449 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 8963 W Peck Dr, Glendale, AZ 85305-2440 | 2006-12-28 |
| 1538225289 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 9405 N 34th Pl, Phoenix, AZ 85028-4924 | 2006-12-28 |
| 1760548564 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3615 W Hearn Rd, Phoenix, AZ 85053-5521 | 2006-12-28 |
| 1659437317 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 613 W Plata Ave, Mesa, AZ 85210-8330 | 2006-12-28 |
| 1811053663 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 14214 N 20th Way, Phoenix, AZ 85022-4682 | 2006-12-28 |
| Street Address |
925 W FOGAL WAY |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724699 | Serene Living Spaces LLC | Community Based Residential Treatment Facility, Mental Illness | 1039 E Loyola Dr, Tempe, AZ 85282-3812 | 2020-03-11 |
| 1710043062 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 1316 E Verlea Dr, Tempe, AZ 85282-2601 | 2006-12-29 |
| 1033684683 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1314 E Orange St, Tempe, AZ 85281-4327 | 2018-10-10 |
| 1427523075 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 434 E Minton Dr, Tempe, AZ 85282-6954 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598253 | Pinnacle Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 45369 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2020-11-03 |
| 1649878687 | Ayobami Noheem Agoro | Community Based Residential Treatment Facility, Mental Illness | 12362 W Joblanca Rd, Avondale, AZ 85323-3130 | 2020-10-13 |
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
| 1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1720698509 | Lyddia Getaweru | Community Based Residential Treatment Facility, Mental Illness | 2767 W Peggy Dr, Queen Creek, AZ 85142-6686 | 2020-08-05 |
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.