Active NPI
Gateway
- Behavior Technician
- Canton, MI
National Provider Identifier
1003689035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- GATEWAY
- Practice address
- 5840 N Canton Center Rd Ste 270
Canton, MI 48187-2614 - Phone
- (734) 796-6601
- NPI assigned
- Nov 1, 2023
- 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
- Mrs. Christina Clement
- Title
- Behavioral Technician
- Phone
- (734) 796-6601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5840 N Canton Center Rd Ste 270
Canton, MI 48187-2614
Mailing address
5840 N Canton Center Rd Ste 270
Canton, MI 48187-2614
Phone (734) 796-6601
National Provider Directory
National Provider DirectoryLocations
5840 N Canton Center Rd
Ste 270
Canton, MI 48187
Phone (734) 366-1665
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Preferred Provider Organization
- Detroit, MI
- NPI 1831508522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1003689035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 N CANTON CENTER RD STE 270",
"city": "CANTON",
"state": "MI",
"postal_code": "481872614",
"telephone_number": "734-796-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 N CANTON CENTER RD STE 270",
"city": "CANTON",
"state": "MI",
"postal_code": "481872614",
"telephone_number": "734-796-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-01",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "CLEMENT",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "BEHAVIORAL TECHNICIAN",
"authorized_official_telephone_number": "734-796-6601",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.