Organization Active NPI

Gateway Behavioral Health Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • N Las Vegas, NV
National Provider Identifier
1336574037
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GATEWAY BEHAVIORAL HEALTH SERVICES LLC
Practice address
37 W Owens Ave
N Las Vegas, NV 89030-6865
Phone
(702) 279-1298
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Jeffrey Brian Iverson
Title
Ceo
Phone
(702) 279-1298

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

37 W Owens Ave
N Las Vegas, NV 89030-6865

Mailing address

37 W Owens Ave
N Las Vegas, NV 89030-6865
Phone (702) 279-1298

National Provider Directory

National Provider Directory

Locations

37 W Owens Ave
North Las Vegas, NV 89030
Phone (702) 279-1298

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1336574037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W OWENS AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306865",
            "telephone_number": "702-279-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W OWENS AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306865",
            "telephone_number": "702-279-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-279-1298"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.