Active NPI
Gateway Residential Programs Winding House
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fair Oaks, CA
National Provider Identifier
1023634862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- GATEWAY RESIDENTIAL PROGRAMS WINDING HOUSE
- Practice address
- 7441 Winding Way
Fair Oaks, CA 95628-6749 - Phone
- (916) 966-1117
- NPI assigned
- Jun 17, 2020
- Organization subpart
- Yes
- Parent organization
- GATEWAY RESIDENTIAL PROGRAMS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Beesley, LMFT
- Title
- Executive Director
- Phone
- (916) 342-4818
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
7441 Winding Way
Fair Oaks, CA 95628-6749
Mailing address
1780 Vernon St Ste 1
Roseville, CA 95678-6311
Phone (916) 782-1111
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Residential Programs Fair Oaks House
- Part of
- Gateway Residential Programs Fair Oaks House
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Roseville, CA
- NPI 1609412063
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fair Oaks, CA
- NPI 1295351039
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Citrus Heights, CA
- NPI 1720604564
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Orangevale, CA
- NPI 1528684362
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fair Oaks, CA
- NPI 1437775277
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Roseville, CA
- NPI 1609412063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1023634862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 VERNON ST STE 1",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956786311",
"telephone_number": "916-782-1111",
"fax_number": "916-782-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7441 WINDING WAY",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956286749",
"telephone_number": "916-966-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY RESIDENTIAL PROGRAMS WINDING HOUSE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GATEWAY RESIDENTIAL PROGRAMS",
"enumeration_date": "2020-06-17",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "BEESLEY",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "916-342-4818",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.