PATHWAY PARTNERS YOUTH AND DEVELOPMENT SERVICES NPI 1073300554

NPI Information

  • NPI: 1073300554
  • Provider Name: PATHWAY PARTNERS YOUTH AND DEVELOPMENT SERVICES
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 5905 COQUINA KEY DR APT F
    INDIANAPOLIS, IN
    ZIP 46224
  • Phone: (765) 617-6031

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NPI Details

PATHWAY PARTNERS YOUTH AND DEVELOPMENT SERVICES is an adolescent and children mental health clinic center in Indianapolis, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. PATHWAY PARTNERS YOUTH AND DEVELOPMENT SERVICES NPI is 1073300554. The provider is registered as an organization entity type.

The provider's business location address is:

5905 COQUINA KEY DR APT F
INDIANAPOLIS, IN
ZIP 46224-085
Phone: (765) 617-6031

The provider's authorized official is Cameron White .
The authorized official title is Owner and has the following contact phone number (765) 617-6031.

The enumeration date for this NPI number is 4/21/2025 and was last updated on 4/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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