Organization Active NPI

Gateway

  • Behavior Technician
  • Canton, MI
National Provider Identifier
1003689035
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on May 22, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.