GATEWAY BEHAVIORAL HEALTH (NPI# 1194015974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194015974 |
| Entity Type | Organization |
| Organization Name | GATEWAY BEHAVIORAL HEALTH |
| Practice Address |
165 Lawler Ln Norwich CT 06360-9435 |
| Mailing Address |
Po Box 531 Taftville CT 06380-0531 |
| Practice Telephone | 8609498311 |
| Practice Fax Number | 8609498124 |
| Mailing Telephone | 8609498311 |
| Mailing Fax Number | 8609498124 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | CAROL A SHARP (DIRECTOR) |
| Authorized Official Telephone | 8609498311 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710380993 | Gateway Behavioral Health | Community/Behavioral Health | 6129 New Jesup Hwy, Brunswick, GA 31523-4201 | 2014-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GATEWAY BEHAVIORAL HEALTH CARE NETWORK, INC. | 5837 Hamilton Ave Suite 204, College Hill, OH 45224 |
| System for Award Management (SAM) Entities | GATEWAY BEHAVIORAL HEALTH SERVICES | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Indiana Business Entities | GATEWAY BEHAVIORAL HEALTHCARE NETWORK | Att: Mary A. Saylor, Mental Health Serv. E., 4760 Madison Rd., Cincinnati, OH 45227 |
| Street Address |
165 LAWLER LN |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-9435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891085734 | Carol A Sharp | Social Worker | 165 Lawler Ln, Norwich, CT 06360-9435 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700149408 | Uncas Health District | Public Health or Welfare | 401 W Thames St, Suite 106, Norwich, CT 06360-7151 | 2012-06-19 |
| 1356460307 | County of Chenango | Public Health or Welfare | 5 Court St, Norwich, NY 13815-1695 | 2007-03-29 |
| 1770649147 | Chenango County | Public Health or Welfare | 5 Court St, Norwich, NY 13815-1695 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801437587 | Healing-empowerment-recovery LLC | Public Health or Welfare | 353 Schraffts Dr Apt G8, Waterbury, CT 06705-3228 | 2019-10-03 |
| 1568979706 | Spin Cycle Laundromat LLC | Public Health or Welfare | 121 Webster Square Rd, Berlin, CT 06037-2328 | 2018-01-09 |
| 1427592070 | State of Connecticut Department of Correction | Public Health or Welfare | 24 Wolcott Hill Rd, Wethersfield, CT 06109-1152 | 2016-12-15 |
| 1841672599 | Farmington Valley Health District | Public Health or Welfare | 95 River Road, Canton, CT 06019-3201 | 2015-06-18 |
| 1154762862 | Chatham Health District | Public Health or Welfare | 240 Middletown Ave, East Hampton, CT 06424-2120 | 2013-07-10 |
| 1992054688 | City of Waterbury Health Department | Public Health or Welfare | 1 Jefferson Square, Waterbury, CT 06706-1102 | 2012-09-10 |
| 1437422961 | City of Middletown Health Department | Public Health or Welfare | 245 Dekoven Dr, Middletown, CT 06457-3460 | 2012-02-14 |
| 1902110323 | Ledge Light Health District | Public Health or Welfare | 943 North Rd, Groton, CT 06340-3272 | 2010-07-27 |
| 1083883078 | Chesprocott Health District | Public Health or Welfare | 1247 Highland Ave, Cheshire, CT 06410-1657 | 2008-02-25 |
| 1164601795 | Westport Weston Health District | Public Health or Welfare | 180 Bayberry Ln, Westport, CT 06880-2802 | 2007-10-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.