PATHWAY YOUTH & FAMIY SERVICES


Address: 3879 N Port Washington Rd, Milwaukee, WI 53212-1180
Phone: 4143244832

PATHWAY YOUTH & FAMIY SERVICES (NPI# 1659726545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659726545
Entity Type Organization
Organization Name PATHWAY YOUTH & FAMIY SERVICES
Practice Address 3879 N Port Washington Rd
Milwaukee
WI 53212-1180
Mailing Address 4358 N 20th St
Milwaukee
WI 53209-6839
Practice Telephone 4143244832
Mailing Telephone 4143244832
Enumeration Date 2016-04-27
Last Update Date 2016-04-27
Authorized Official Name YOLANDA RICHARDSON (DIRECTOR)
Authorized Official Telephone 4143244832
Authorized Official Credential MS,SACIT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 17485-130 WI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WI 1184947509 05

Office Location

Street Address 3879 N PORT WASHINGTON RD
City MILWAUKEE
State WI
Zip Code 53212-1180

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1467095703 Ifrah Hameed Psychologist 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 2019-10-18
1386293330 Rachel Mae Nelson Bagha Student in an Organized Health Care Education/Training Program 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 2019-09-11
1164085205 Mary Sue Daase Bowen Counselor 2821 N 4th Street, Milwaukee, WI 53212 2019-04-15
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1710447701 Scott William Stauder Student in an Organized Health Care Education/Training Program 1121 E. North Ave., Milwaukee, WI 53212 2019-03-25
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1093285140 Megan Marie Volp Advanced Practice Midwife 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 2018-12-03
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558968990 Zoran Jovicic Community/Behavioral Health 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 2020-10-08
1548816580 Latara Williams Community/Behavioral Health 2447 N 50th St, Milwaukee, WI 53210-2815 2019-08-15
1942856091 Kennedy's Circle of Wellness LLC Community/Behavioral Health 3614 W North Ave, Milwaukee, WI 53208-1416 2019-08-14
1205391828 Jerome Pitchford Community/Behavioral Health 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 2019-02-07
1194233718 The Evolving Chair Counseling and Consulting Agency Community/Behavioral Health 3100 N 78th St, Milwaukee, WI 53222-3916 2018-01-17
1316453905 D.a.a.n.i Professional Counseling Service LLC Community/Behavioral Health 2943 N 52nd St, Milwaukee, WI 53210-1610 2017-12-19
1932654845 The Thresholds Community/Behavioral Health 6815 W Capitol Dr # 305, Milwaukee, WI 53216-2070 2016-08-20
1801341144 Fly Philanthropy Inc Community/Behavioral Health 3352 N Palmer St, Milwaukee, WI 53212-1541 2016-08-16
1528413671 Adventures In Play, LLC Community/Behavioral Health 2118 E Kenilworth Pl, Lowr, Milwaukee, WI 53202-1327 2016-04-26
1356700223 My Father's Heart, Inc Community/Behavioral Health 5650a N 97th St, Milwaukee, WI 53225-2502 2016-02-19
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Competitor

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City MILWAUKEE
Zip Code 53212

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Dataset Information

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.

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