PATHWAYS NEUROFEEDBACK INSTITUTE PLLC NPI 1639867468

NPI Information

  • NPI: 1639867468
  • Provider Name: PATHWAYS NEUROFEEDBACK INSTITUTE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 401 BROCKMAN LOOP
    JEROME, ID
    ZIP 83338
  • Phone: (208) 734-1394

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NPI Details

PATHWAYS NEUROFEEDBACK INSTITUTE, PLLC is a family medicine in Jerome, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PATHWAYS NEUROFEEDBACK INSTITUTE, PLLC NPI is 1639867468. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 BROCKMAN LOOP
JEROME, ID
ZIP 83338
Phone: (208) 734-1394

The provider's authorized official is Elizabeth Jo Johnson .
The authorized official title is Owner and has the following contact phone number (208) 734-1394.

The enumeration date for this NPI number is 4/28/2023 and was last updated on 4/28/2023.

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
1207Q00000XFamily MedicineYes

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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