Provider Demographics
NPI:1447148960
Name:POSITIVE PATHWAYS PSYCHIATRY PLLC
Entity type:Organization
Organization Name:POSITIVE PATHWAYS PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-600-9293
Mailing Address - Street 1:555 S PERRYVILLE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2527
Mailing Address - Country:US
Mailing Address - Phone:815-396-8617
Mailing Address - Fax:815-201-8752
Practice Address - Street 1:555 S PERRYVILLE RD STE 130
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2527
Practice Address - Country:US
Practice Address - Phone:815-396-8617
Practice Address - Fax:815-201-8752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty