Active NPI
Gateway Marriage and Family Therapy, LLC
- Marriage & Family Therapist
- Gilbert, AZ
National Provider Identifier
1003209479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-10408
- Legal business name
- GATEWAY MARRIAGE AND FAMILY THERAPY, LLC
- Practice address
- 690 E Warner Rd
BLDG 10, Ste# 152
Gilbert, AZ 85296-3054 - Phone
- (480) 420-7061
- NPI assigned
- Mar 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Calleen Antoinette Morris, MAS-MFT, LMFT
- Title
- Clinical Supervisor
- Phone
- (480) 268-4327
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-10408 | AZ | Primary |
Addresses
Primary practice location
690 E Warner Rd
BLDG 10, Ste# 152
Gilbert, AZ 85296-3054
Mailing address
690 E Warner Rd
BLDG 10, Ste# 152
Gilbert, AZ 85296-3054
Phone (480) 420-7061
Other names 1
- Gateway MFT, LLC
National Provider Directory
National Provider DirectoryLocations
690 E Warner Rd
Ste 152
Gilbert, AZ 85296
Phone (480) 420-7061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425945600000",
"number": "1003209479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 E WARNER RD",
"address_2": "BLDG 10, STE# 152",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963054",
"telephone_number": "480-420-7061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 E WARNER RD",
"address_2": "BLDG 10, STE# 152",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963054",
"telephone_number": "480-420-7061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY MARRIAGE AND FAMILY THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-10",
"last_updated": "2015-03-10",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "CALLEEN",
"authorized_official_middle_name": "ANTOINETTE",
"authorized_official_title_or_position": "CLINICAL SUPERVISOR",
"authorized_official_telephone_number": "480-268-4327",
"authorized_official_credential": "MAS-MFT, LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT-10408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway MFT, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.