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DBA PACIFIC PATHWAYS
NPI 1649882606
Community Based Residential Treatment Facility, Mental Illness in Petaluma, CA

Active since August 20, 2020
621A 2ND ST, PETALUMA, CA 94952(707) 708-3090 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2021, May 5, 2021, Aug 20, 2020 (3 updates tracked since 2020).

About Dba Pacific Pathways NPPES

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

DBA PACIFIC PATHWAYS (NPI 1649882606) is a healthcare organization registered as a community based residential treatment facility, mental illness in Petaluma, California and active in the NPI registry since August 2020. The organization lists Brooke H Brody, Owner, as its authorized official.

NPPES Registry Identity

NPI1649882606
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC
Location Address621A 2ND STPetaluma, CA 94952
Mailing Address621a 2nd StPetaluma, CA 94952 · (240) 994-4926
Phone(707) 708-3090
Organization SubpartNo
Authorized OfficialBrooke H BrodyOwner · (240) 994-4926
Enumeration DateAugust 20, 2020
Last NPPES UpdateJune 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1649882606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
621A 2ND ST, Petaluma, CA 94952
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Other Names 1

Doing Business AsDba Pacific Pathways

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE H BRODY LCSW-C, LCADC
Social Worker (Clinical)
621A 2ND ST
PETALUMA, CA 94952
Sonoma County (240) 994-4926
JILLIAN MARIE JANISEN ASW
Social Worker
621A 2ND ST
PETALUMA, CA 94952
Sonoma County (707) 708-3090

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 Brooke Brody Licensed Clinical Social Worker, PC's NPI number?

The NPI number for Brooke Brody Licensed Clinical Social Worker, PC is 1649882606. It was assigned to this organization in the NPPES registry on August 20, 2020. The provider is doing business as Dba Pacific Pathways.

Where is Brooke Brody Licensed Clinical Social Worker, PC located?

Brooke Brody Licensed Clinical Social Worker, PC is located at 621A 2nd St, Petaluma, CA 94952. The listed phone number is (707) 708-3090.

What is Brooke Brody Licensed Clinical Social Worker, PC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Brooke Brody Licensed Clinical Social Worker, PC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.