GATEWAY HEALTHCARE INC (NPI# 1821078932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821078932 |
| Entity Type | Organization |
| Organization Name | GATEWAY HEALTHCARE INC |
| Practice Address |
249 Roosevelt Ave Suite 205 Pawtucket RI 02860 |
| Practice Telephone | 4017248400 |
| Mailing Telephone | 4017248400 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | JOYCE A FACTEAU (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4017248400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | RI633 | RI | Agencies |
| N | 251S00000X | Community/Behavioral Health | RI633 | RI | Agencies |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
RI633 | RI | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
RI633 | RI | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
RI633 | RI | Ambulatory Health Care Facilities |
| Street Address |
249 ROOSEVELT AVE SUITE 205 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324101 | Gateway Healthcare, Inc | Case Management | 249 Roosevelt Ave, Unit 205, Pawtucket, RI 02860-2134 | 2005-05-23 |
| 1487267449 | Silifat Adedayo Ainabe | Clinic/Center | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2020-08-28 |
| 1093379190 | Carla Justiniano | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-24 |
| 1467915561 | Haleigh O'brien | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-08 |
| 1235614769 | Alim Hos | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-10-01 |
| 1982193884 | Angela Gallo | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-05-07 |
| 1033607072 | Jennifer M Pelkey | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-04-25 |
| 1801323910 | Jenna Petrucci | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-05-19 |
| 1942736855 | Briana Ransford | Counselor | 249 Roosevelt Ave, Suite 205, Pawtucket, RI 02860-2134 | 2017-05-11 |
| 1275071409 | Wanda M Angel | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022699 | Oak Hill Counseling and Wellness, LLC | Clinic/Center | 100 Lafayette St Ste 301, Pawtucket, RI 02860-6008 | 2018-08-08 |
| 1487267449 | Silifat Adedayo Ainabe | Clinic/Center | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2020-08-28 |
| 1639797970 | Rebecca Babcock Fenerci Phd LLC | Clinic/Center | 750 East Ave, Pawtucket, RI 02860-6245 | 2020-07-13 |
| 1306479670 | Bhg Lvii, LLC | Clinic/Center | 82 Pond St, Pawtucket, RI 02860-4462 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1295184141 | Kristen Fuller | Clinic/Center | 140 Larch St Apt 2, Providence, RI 02906-2618 | 2016-06-10 |
| 1033259478 | The Journey To Hope, Health & Healing, Inc | Clinic/Center | 985 Plainfield Street, Johnston, RI 02919 | 2007-02-07 |
| 1568543361 | West Bay Psychiatric Associates | Clinic/Center | 300 Centerville Road, Summit West Suite 101, Warwick, RI 02886 | 2006-10-18 |
| 1174521488 | R.i.s.a.t., LLC | Clinic/Center | 66 Pavilion Ave, Providence, RI 02905-1522 | 2005-07-11 |
| 1316545114 | New Rhode Counseling LLC | Clinic/Center | 175 East Ave, Harrisville, RI 02830-1501 | 2020-10-14 |
| 1467069237 | Sarah Donfrancesco Counseling LLC | Clinic/Center | 2220 Plainfield Pike Ste 5w, Cranston, RI 02921-2001 | 2020-09-25 |
| 1508475880 | Ri Therapeutic Alliance, LLC | Clinic/Center | 18 Hilltop Dr, N Scituate, RI 02857-1215 | 2020-07-23 |
| 1700419074 | Bhg Lvi, LLC | Clinic/Center | 985 Plainfield St, Johnston, RI 02919-6703 | 2020-02-14 |
| 1508499872 | Bhg Lvi, LLC | Clinic/Center | 160 Narragansett Ave, Providence, RI 02907-3367 | 2020-02-14 |
| 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.