Gates Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2291 Issued in NC

Legal business name

GATES PSYCHOLOGICAL SERVICES

Practice address

1606 Wellington Ave
Wilmington, NC 28401-7747

Phone

(910) 793-6144

Fax

(910) 793-6140

NPI assigned

Apr 25, 2016

Last updated

Apr 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Nelson Gates, DMIN, MA, LPA, LPCS

Title

Owner

Phone

(910) 793-6144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1033564349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017747",
            "telephone_number": "910-793-6144",
            "fax_number": "910-793-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017747",
            "telephone_number": "910-793-6144",
            "fax_number": "910-793-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-793-6144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN, MA, LPA, LPCS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary David Garrett, M.D.
• Leslie Morton Garris
• Mark N. Gaskill, PH.D.
• Natalie Marie Gasperini, MA CCC-SLP
• Lydia Sexton Gaster
• Capucine Gates, M.A., CCC-SLP
• George Nelson Gates, D.MIN. LPC
• Kevin Michael Gaylord, MD
• Bonnie Ellen Gaynor, MSW, ACSW
• Ayman Gebrail, M.D.

• Clinical Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.