GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1992834550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992834550 |
| Entity Type | Organization |
| Organization Name | GATEWAY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | GATEWAY BHS - TC NOW |
| Practice Address |
210 E 15th St Woodbine GA 31569-5501 |
| Mailing Address |
700 Coastal Village Dr Brunswick GA 31520-1974 |
| Practice Telephone | 9125765075 |
| Practice Fax Number | 9125763543 |
| Mailing Telephone | 9125548510 |
| Mailing Fax Number | 9122645965 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-10-20 |
| Authorized Official Name | DR. WILLIAM PARKS (CFO) |
| Authorized Official Telephone | 9125548464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000622553C | 05 |
| Other Name | Type Code |
|---|---|
| Gateway BHS - TC Now | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1902451693 | Gateway Behavioral Health Services | Community/Behavioral Health | 210 E 15th St Ste A, Woodbine, GA 31569-5501 | 2019-08-08 |
| 1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
| 1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
| 1750672242 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6055 New Jesup Hwy, Brunswick, GA 31523-1629 | 2011-05-02 |
| 1497054522 | Gateway Behavioral Health Services | Counselor | 3 Oglethorpe Professional Blvd, Savannah, GA 31406-3603 | 2011-03-15 |
| 1124254321 | Gateway Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 121 Burgess Rd, Brunswick, GA 31523-9311 | 2009-06-03 |
| 1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
| 1356587224 | Gateway Behavioral Health Services | Counselor | 515 E. 63rd Street, Suite 1, Savannah, GA 31405 | 2008-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY BEHAVIORAL HEALTH SERVICES | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Street Address |
210 E 15TH ST |
| City | WOODBINE |
| State | GA |
| Zip Code | 31569-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770858334 | Gateway Behavioral Health Services | Day Training, Developmentally Disabled Services | 210 E 15th St, Woodbine, GA 31569-5501 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326281783 | Phyllis Dunham | Counselor | 349 Colesburg-tompkin Rd., Woodbine, GA 31569 | 2009-04-15 |
| 1063545762 | Gateway Behavioral Health Services | Psychologist | 210 East 15th Street, Woodbine, GA 31569 | 2007-03-13 |
| 1417099755 | Coastal Speech Therapy | Speech-Language Pathologist | 24 Serenity Farms Rd, Coastal Speech Therapy, Woodbine, GA 31569 | 2007-02-13 |
| 1790755585 | Kim Timmerman Baird | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0307 | 2006-01-24 |
| 1750508602 | Kim T. Baird, Fnp-cs | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0308 | 2007-04-20 |
| 1538386370 | Mary Lee Carter, Md-pc | Internal Medicine | 308 Bedell Ave, Woodbine, GA 31569-0308 | 2007-04-20 |
| 1720180573 | Robert Thomas Baird | Dentist | 308 Bedell Ave, Woodbine, GA 31569-0488 | 2006-09-02 |
| 1851710685 | Amanda Mcnulty | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-2091 | 2014-04-09 |
| 1326484411 | Debra M. Tait | Counselor | 801 Thrift Rd, Woodbine, GA 31569-2436 | 2013-05-15 |
| 1043826241 | Jimmequia Lanice Allen | Registered Nurse | 117 James St, Woodbine, GA 31569-3568 | 2020-09-22 |
| Find all providers in zip 31569 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881172427 | Erin Kathleen Baehr | Psychologist | 3163 Lorenzo Ln, Woodbine, MD 21797-7501 | 2018-08-06 |
| 1336665140 | Psychological & Holistic Healing Center LLC | Psychologist | 185 Petersburg Rd, Woodbine, NJ 08270-9439 | 2017-08-15 |
| 1063545762 | Gateway Behavioral Health Services | Psychologist | 210 East 15th Street, Woodbine, GA 31569 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072015 | Karen A Foster | Psychologist | 2115 Dee Dee Muse Ln Nw, Atlanta, GA 30318-1503 | 2020-08-08 |
| 1013525120 | Renato Popovic | Psychologist | 2601 Cross Country Dr, Columbus, GA 31906-1801 | 2020-07-15 |
| 1275159584 | Joe Ann Marie Brandt | Psychologist | 11706 Mercy Blvd Ste 1, Savannah, GA 31419-1751 | 2020-06-23 |
| 1376164863 | Alexander Brikman | Psychologist | 2374 Main St Ste A, Tucker, GA 30084-4533 | 2020-05-06 |
| 1154942084 | Martie Camille Belle | Psychologist | 1462 Clifton Rd Ne Ste 235, Atlanta, GA 30322-1063 | 2020-05-01 |
| 1518513738 | Narjerah Delk | Psychologist | 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 | 2019-08-13 |
| 1043862907 | Lauren Barbara Mcsweeney | Psychologist | 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 | 2019-07-11 |
| 1356907695 | Mc Medical LLC | Psychologist | 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 | 2019-05-13 |
| 1851853758 | Charles A Helm | Psychologist | 116 Preston Landing Cir, Lithia Springs, GA 30122-6846 | 2019-04-01 |
| 1194285106 | Heather Ansari | Psychologist | 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 | 2019-03-25 |
| 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.