NPIMap

Organization Active NPI

Gateway to Change

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1306126214
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
42232700 Issued in WI
Legal business name
GATEWAY TO CHANGE
Practice address
2319 W Capitol Dr
Milwaukee, WI 53206-1919
Phone
(414) 442-2033
Fax
(414) 442-2167
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Mrs. Glenda Hampton
Title
Executive Director
Phone
(414) 442-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 42232700 WI Primary

Addresses

Primary practice location

2319 W Capitol Dr
Milwaukee, WI 53206-1919

Mailing address

2319 W Capitol Dr
Milwaukee, WI 53206-1919
Phone (414) 442-2033

Other identifiers 1

IdentifierTypeStateIssuer
396006491MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Gateway to Change3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1306126214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061919",
            "telephone_number": "414-442-2033",
            "fax_number": "414-442-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061919",
            "telephone_number": "414-442-2033",
            "fax_number": "414-442-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY TO CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-442-2033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "42232700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396006491",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.