Organization Active NPI

Gateway Recovery Clinic, PLLC

  • Psychiatry Physician
  • Mt Sterling, KY
National Provider Identifier
1003377011
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GATEWAY RECOVERY CLINIC, PLLC
Practice address
805 Alexa Dr Ste D
Mt Sterling, KY 40353-1000
Phone
(859) 432-8002
NPI assigned
Mar 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Sarah Zalone, DONPI 1710246194
Title
Physician
Phone
(859) 432-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

805 Alexa Dr Ste D
Mt Sterling, KY 40353-1000

Mailing address

805 Alexa Dr Ste D
Mt Sterling, KY 40353-1000
Phone (859) 432-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703001741 KY Part B Supplier - Clinic/Group Practice 9830423326 Receives reassigned benefits from 3 practitioners
Practice locations: Mt Sterling, KY

National Provider Directory

National Provider Directory

Locations

245 Fountain Ct
Lexington, KY 40509
Phone (859) 323-6021

805 Alexa Dr
Ste D
Mt Sterling, KY 40353
Phone (859) 432-8002

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1003377011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ALEXA DR STE D",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531000",
            "telephone_number": "859-432-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ALEXA DR STE D",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531000",
            "telephone_number": "859-432-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY RECOVERY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "ZALONE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-432-8002",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.