Organization Active NPI

Gateway Behavioral Health

  • Public Health or Welfare Agency
  • Norwich, CT
National Provider Identifier
1194015974
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GATEWAY BEHAVIORAL HEALTH
Practice address
165 Lawler LN
Norwich, CT 06360-9435
Phone
(860) 949-8311
Fax
(860) 949-8124
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Carol A Sharp, LCSW
Title
Director
Phone
(860) 949-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

165 Lawler LN
Norwich, CT 06360-9435

Mailing address

PO Box 531
Taftville, CT 06380-0531
Phone (860) 949-8311

National Provider Directory

National Provider Directory

Locations

165 Lawler Ln
Norwich, CT 06360
Phone (860) 949-8311

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1194015974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "TAFTVILLE",
            "state": "CT",
            "postal_code": "063800531",
            "telephone_number": "860-949-8311",
            "fax_number": "860-949-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LAWLER LN",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063609435",
            "telephone_number": "860-949-8311",
            "fax_number": "860-949-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-949-8311",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.