NPIMap

Organization Active NPI

Gateway Marriage and Family Therapy, LLC

Doing business as Gateway MFT, LLC

  • Marriage & Family Therapist
  • Gilbert, AZ
National Provider Identifier
1003209479
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-10408 Issued in AZ
Legal business name
GATEWAY MARRIAGE AND FAMILY THERAPY, LLC
Doing business as
Gateway MFT, LLC
Practice address
690 E Warner Rd
BLDG 10, Ste# 152
Gilbert, AZ 85296-3054
Phone
(480) 420-7061
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Calleen Antoinette Morris, MAS-MFT, LMFTNPI 1508106576
Title
Clinical Supervisor
Phone
(480) 268-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

690 E Warner Rd
Ste 152
Gilbert, AZ 85296
Phone (480) 420-7061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.