Organization Active NPI

Gatewell Therapy Center

  • Clinical Psychologist
  • Coral Gables, FL
National Provider Identifier
1043752389
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 9153 Issued in FL
Legal business name
GATEWELL THERAPY CENTER
Practice address
4601 Ponce de Leon Blvd
Suite 260
Coral Gables, FL 33146-2111
Phone
(305) 846-9370
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Stacey Rosenfeld, PHD
Title
Psychologist/Owner
Phone
(305) 846-9370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY 9153 FL Primary

Addresses

Primary practice location

4601 Ponce de Leon Blvd
Suite 260
Coral Gables, FL 33146-2111

Mailing address

4601 Ponce de Leon Blvd
Suite 260
Coral Gables, FL 33146-2111
Phone (305) 846-9370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1043752389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PONCE DE LEON BLVD",
            "address_2": "SUITE 260",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462111",
            "telephone_number": "305-846-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PONCE DE LEON BLVD",
            "address_2": "SUITE 260",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462111",
            "telephone_number": "305-846-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWELL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "305-846-9370",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.