Gateway Center of Monterey County Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

GATEWAY CENTER OF MONTEREY COUNTY INC.

Practice address

854 Congress Ave
Pacific Grove, CA 93950-4811

Phone

(831) 372-8002

Fax

(831) 372-2411

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Lyon

Title

Executive Director

Phone

(831) 372-8002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457652885. Details of each certification follow.

• CCN 55G666 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G666

Legal name

GATEWAY CENTER ICF 1

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Sep 28, 2011

Last certification

Jul 23, 2025

Beds

30 (15 certified)

Ownership / control type

Private (non-profit)

Facility address

854 Congress Avenue
Pacific Grove, CA 93950

Tax ID family

Gateway Center of Monterey Co Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gateway Center of Monterey Co Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Pacific Grove, CA
  • NPI 1003262239
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gateway Center of Monterey Co Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Pacific Grove, CA
  • NPI 1003262239
  NPPES parent name

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1457652885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CONGRESS AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504811",
            "telephone_number": "831-372-8002",
            "fax_number": "831-372-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 CONGRESS AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504811",
            "telephone_number": "831-372-8002",
            "fax_number": "831-372-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CENTER OF MONTEREY COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-372-8002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Front Porch Communities and Services (Canterbury Woods)
• Andrea Fuller, MFT
• Amie Rovane Gahan, DPT
• Elisa Garcia, ELISA GARCIA, OTR/L
• Gateway Center of Monterey Co Inc
• Sylvia Gil
• Trinette Louise Gilbert, D.C.
• Jane Ann Gingerich, L,C.S.W.
• Martha Elizabeth Gleason, PHD
• Godman Psychological Services

• Intellectual Disabilities Intermediate Care Facility in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.