Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pathways Neurofeedback Institute, PLLC

Organization Family Medicine Physician · NPI 1639867468

Pathways Neurofeedback Institute, PLLC is a Family Medicine Physician in Jerome, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 Brockman Loop
Jerome, ID 83338
Phone: (208) 734-1394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639867468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Johnson — Owner · (208) 734-1394
Other names Pathways Functional Medicine
NPI enumeratedApril 28, 2023
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address401 Brockman Loop, Jerome, ID 83338

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