Gateway Behavioral Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GATEWAY BEHAVIORAL HEALTH SERVICES

Practice address

2705 Clay St
Vicksburg, MS 39183-3130

Phone

(601) 661-9752

Fax

(601) 661-6021

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Joyce Blue, RN

Title

Administrator

Phone

(601) 661-9752

Specialties & licenses 1

Addresses

Other names 1

• Gateway Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Carson, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1578986915
  Medicare reassignment NPD
• Kimberly Carson, FNP-BC

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1174052773
  Medicare reassignment NPD
• Tiffany Griffin

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1013302082
  Medicare reassignment NPD
• Katrina Dryer, NP

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1124068952

  MS

  Medicare reassignment NPD
• Chemese Stubbs, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, MS
  • NPI 1770337248
  Medicare reassignment

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1306362082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820472",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391820472",
            "telephone_number": "601-661-9752",
            "fax_number": "601-661-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833130",
            "telephone_number": "601-661-9752",
            "fax_number": "601-661-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-661-9752",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett Rouse Garrett Rouse
• Gaskin Family Chiropractic, P.C.
• Kenya M Gaskin, D.C.
• Gastrointestinal Associates Endoscopy Center, LLC
• Gastrointestinal Associates, P.a.
• Gateway Wellness Clinic
• Madeleine Gaul
• Laura Howell Gee
• Melissa Hope Geter, PTA
• Ashaki Gibson III

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.