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PATHWAYS NEUROFEEDBACK INSTITUTE, PLLC
NPI 1639867468
Family Medicine in Jerome, ID

Active since April 28, 2023
401 BROCKMAN LOOP, JEROME, ID 83338(208) 734-1394 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pathways Neurofeedback Institute, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHWAYS NEUROFEEDBACK INSTITUTE, PLLC (NPI 1639867468), doing business as Pathways Functional Medicine, is a healthcare organization registered as a family medicine in Jerome, Idaho and active in the NPI registry since April 2023. The organization lists Elizabeth Jo Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1639867468
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePATHWAYS NEUROFEEDBACK INSTITUTE, PLLC
Location Address401 BROCKMAN LOOPJerome, ID 83338
Mailing Address401 Brockman LoopJerome, ID 83338 · (208) 734-1394
Phone(208) 734-1394
Organization SubpartNo
Authorized OfficialElizabeth Jo JohnsonOwner · (208) 734-1394
Enumeration DateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1639867468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
401 BROCKMAN LOOP, Jerome, ID 83338
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Other Names 1

Doing Business AsPathways Functional Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathways Neurofeedback Institute, PLLC's NPI number?

The NPI number for Pathways Neurofeedback Institute, PLLC is 1639867468. It was assigned to this organization in the NPPES registry on April 28, 2023. The provider is doing business as Pathways Functional Medicine.

Where is Pathways Neurofeedback Institute, PLLC located?

Pathways Neurofeedback Institute, PLLC is located at 401 Brockman Loop, Jerome, ID 83338. The listed phone number is (208) 734-1394.

What is Pathways Neurofeedback Institute, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Pathways Neurofeedback Institute, PLLC was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.