Gateway Center for the Arts

Key facts

NPI

1396152807

Entity type

Organization (NPI type 2)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

114517 (MO)

Legal business name

GATEWAY CENTER FOR THE ARTS

Practice address

1281 N Highway 47
Union, MO 63084-1495

Phone

(636) 583-0788

Fax

(636) 583-0921

NPI assigned

Jul 16, 2014

Organization subpart

No

Authorized official

Name

Ms. Kimberly S Helm, MS,CCC-SLP,BCBA-LBA

Title

Executive Director

Phone

(636) 583-0788

Practitioners 1

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

• Kimberly Sue Streff, MS, CCC-SLP,BCBA,LBA Behavior Analyst · Creve Coeur, MO · NPI 1386770964
  NPD (past) BEHAVIOR ANALYST

National Provider Directory

Specialties & licenses

Addresses

Other names

• Gateway Education & Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2015.

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1396152807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 N HIGHWAY 47",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841495",
            "telephone_number": "636-583-0788",
            "fax_number": "636-583-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 N HIGHWAY 47",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841495",
            "telephone_number": "636-583-0788",
            "fax_number": "636-583-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CENTER FOR THE ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "HELM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-583-0788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,CCC-SLP,BCBA-LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2013028552",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "114517",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "2013028552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Education & Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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