Gateway Consulting and Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36257 Issued in TX

Legal business name

GATEWAY CONSULTING AND PSYCHOLOGICAL SERVICES

Practice address

210 Lake Rd Ste 700a
Lake Jackson, TX 77566-4988

Phone

(979) 285-9242

NPI assigned

Jul 24, 2017

Last updated

Jul 24, 2017By 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. Krystal T Simmons, PHDNPI 1588902969

Title

Psychologist/President

Phone

(202) 277-5238

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystal T. Simmons, LSSP, NCSP, LP

  • Psychologist
  • College Station, TX
  • NPI 1588902969
  NPD Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1033632971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 GRIGGS RD STE 14407",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770213760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAKE RD STE 700A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664988",
            "telephone_number": "979-285-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CONSULTING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "202-277-5238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.