Provider Demographics
NPI:1508929985
Name:PATHWAYS, INC.
Entity Type:Organization
Organization Name:PATHWAYS, INC.
Other - Org Name:PATHWAYS OF RUTLAND, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:C
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:802-775-6031
Mailing Address - Street 1:26 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-3404
Mailing Address - Country:US
Mailing Address - Phone:802-775-6031
Mailing Address - Fax:802-775-6031
Practice Address - Street 1:26 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-3404
Practice Address - Country:US
Practice Address - Phone:802-775-6031
Practice Address - Fax:802-775-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680000002101Y00000X, 101YM0800X
VT0480000115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT28213OtherBCBS
51733OtherCIGNA
VT28213OtherBCBS
VTVN3968Medicare ID - Type Unspecified