NPIMap

Organization Active NPI

Gateway Healthcare, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Woonsocket, RI
National Provider Identifier
1366476707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDS Issued in RI
Legal business name
GATEWAY HEALTHCARE, INC
Practice address
80 Hamlet Ave
Woonsocket, RI 02895-4410
Phone
(401) 766-1665
Fax
(401) 767-4903
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beverly Nixon, LCDS
Title
LCDS
Phone
(401) 766-1665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X LCDS RI Primary

Addresses

Primary practice location

80 Hamlet Ave
Woonsocket, RI 02895-4410

Mailing address

249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
Phone (401) 724-8400

Other identifiers 1

IdentifierTypeStateIssuer
FACILITY CONTRACTMedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Gateway Healthcare Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

249 Roosevelt Ave
Ste 205
Pawtucket, RI 02860
Phone (401) 667-6518

80 Hamlet Ave
Woonsocket, RI 02895
Phone (401) 766-4740

Practitioners & affiliated clinicians

Practitioners 2

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366476707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 ROOSEVELT AVE",
            "address_2": "SUITE 205",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602134",
            "telephone_number": "401-724-8400",
            "fax_number": "401-365-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAMLET AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954410",
            "telephone_number": "401-766-1665",
            "fax_number": "401-767-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "LCDS",
        "authorized_official_telephone_number": "401-766-1665",
        "authorized_official_credential": "LCDS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "LCDS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FACILITY CONTRACT",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.