PATHWAY HOME NPI 1639927684

NPI Information

NPI: 1639927684
Provider Name: PATHWAY HOME
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address: 150 S 600 E STE 3A
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 792-5557

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NPI Details

PATHWAY HOME is a community based residential treatment facility mental illness in Salt Lake City, UT. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PATHWAY HOME NPI is 1639927684. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 S 600 E STE 3A
SALT LAKE CITY, UT
ZIP 84102-961
Phone: (801) 792-5557

The provider's authorized official is Melissa Radcliffe .
The authorized official title is Founder and has the following contact phone number (801) 792-5557.

The enumeration date for this NPI number is 5/7/2024 and was last updated on 5/7/2024.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
3	1041C0700X	Social Worker	Clinical	No
4	106S00000X	Behavior Technician		No
5	132700000X	Dietary Manager		No
6	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	No
7	171M00000X	Case Manager/Care Coordinator		No
8	225A00000X	Music Therapist		No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
10	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
11	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes
12	363AM0700X	Physician Assistant	Medical	No
13	363LF0000X	Nurse Practitioner	Family	No
14	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

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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