Gateway Pediatric Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GATEWAY PEDIATRIC THERAPY LLC

Practice address

32100 Telegraph Rd
Suite 185
Bingham Farms, MI 48025-2452

Phone

(248) 494-2524

NPI assigned

May 29, 2014

Last updated

Mar 29, 2021By 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

Christina Jean Vestevich, BCBANPI 1376711408

Title

Therapist / Owner

Phone

(248) 509-4537

Specialties & licenses 1

Addresses

Tax ID family

Gateway Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gateway Pediatric Therapy LLC

  • Behavior Analyst
  • Bingham Farms, MI
  • NPI 1962089425
  NPD tax ID

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.

• Christina Jean Vestevich, BCBA

  • Behavior Analyst
  • Bingham Farms, MI
  • NPI 1376711408
  Authorized official Same address or phone

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1043622780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD",
            "address_2": "SUITE 185",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252452",
            "telephone_number": "248-494-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD",
            "address_2": "SUITE 185",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252452",
            "telephone_number": "248-494-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "VESTEVICH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST / OWNER",
        "authorized_official_telephone_number": "248-509-4537",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emirene Garza
• Erica Dionne Gaston, LMSW
• Joi A Gaston
• Ralph Gaston
• Essence Alycze Gates
• Gateway Pediatric Therapy LLC
• Marika Anna Gaul, MA CF-SLP
• Kevin Gauronskas
• Maranda Gaval
• Kelly Nicole Geary

• Behavior Analyst in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.