Organization Active NPI

Gamut Behavioral Services

  • Early Intervention Provider Agency
  • Conshohocken, PA
National Provider Identifier
1427384908
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1-03-1364 Issued in PA
Legal business name
GAMUT BEHAVIORAL SERVICES
Practice address
101 E 8TH Ave Ste 303
Conshohocken, PA 19428-1774
Phone
(267) 253-5366
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Marycate McDonough, M.S.ED, BCBANPI 1770724197
Title
Executive Director
Phone
(267) 253-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1-03-1364 PA Primary

Addresses

Primary practice location

101 E 8TH Ave Ste 303
Conshohocken, PA 19428-1774

Mailing address

101 E 8TH Ave Ste 303
Conshohocken, PA 19428-1774
Phone (267) 253-5366

National Provider Directory

National Provider Directory
Tax ID family
Gamut Behavioral Services3 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.

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": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1427384908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 8TH AVE STE 303",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281774",
            "telephone_number": "267-253-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH AVE STE 303",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281774",
            "telephone_number": "267-253-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMUT BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "MARYCATE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-253-5366",
        "authorized_official_credential": "M.S.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "1-03-1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.