FSL PATHWAYS (NPI# 1659437317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659437317 |
| Entity Type | Organization |
| Organization Name | FSL PATHWAYS |
| Other Organization Name | AGL - PLATA |
| Practice Address |
613 W Plata Ave Mesa AZ 85210-8330 |
| Mailing Address |
1201 E Thomas Rd Phoenix AZ 85014-5734 |
| Practice Telephone | 4808130539 |
| 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 | BH1186 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS BHS 1186 | BH1186 | 01 |
| AZ | 346412 | 05 |
| Other Name | Type Code |
|---|---|
| AGL - Plata | 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 |
| 1619033412 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 925 W Fogal Way, Tempe, AZ 85282-4727 | 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 |
613 W PLATA AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85210-8330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
| 1356987119 | Healthy Minds of Arizona | Community Based Residential Treatment Facility, Mental Illness | 2735 E Main St Ste 1, Mesa, AZ 85213-9269 | 2019-11-26 |
| 1174166136 | Harmony Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 2726 S Los Altos, Mesa, AZ 85202-7326 | 2019-10-22 |
| 1700445657 | The Nile Health Network | Community Based Residential Treatment Facility, Mental Illness | 1367 S Country Club Dr Unit 1011, Mesa, AZ 85210-5155 | 2019-06-12 |
| 1780177535 | Legacy Senior Management LLC | Community Based Residential Treatment Facility, Mental Illness | 152 N 56th St Ste B, Mesa, AZ 85205-8718 | 2018-06-07 |
| 1003344367 | Ptl Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 10839 E Sonrisa Ave, Mesa, AZ 85212-5126 | 2017-05-31 |
| 1811322795 | Pavillion | Community Based Residential Treatment Facility, Mental Illness | 963 E 9th Pl, Mesa, AZ 85203-5623 | 2013-09-10 |
| 1114272416 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 N Ridge Cir, Mesa, AZ 85203-5129 | 2012-07-23 |
| 1992911226 | Marc Community Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6433 E Quartz St, Mesa, AZ 85215-0948 | 2007-05-15 |
| 1215143540 | Marc Community Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2664 E Hermosa Vista Dr, Mesa, AZ 85213-2306 | 2007-05-15 |
| Find all providers in MESA | ||||
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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.