Blue Tiger Recovery Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29305 Issued in CA

Legal business name

BLUE TIGER RECOVERY INC

Practice address

73555 Alessandro Dr
Palm Desert, CA 92260-3635

Phone

(760) 534-3487

Fax

(442) 334-7901

NPI assigned

May 6, 2014

Last updated

Jun 30, 2022By 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

Mr. Terry L Gatewood, L.C.S.W.NPI 1437553344

Title

Ceo

Phone

(323) 217-8600

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13108/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Lane Gatewood, L.C.S.W

  • Clinical Social Worker
  • Palm Springs, CA
  • NPI 1437553344
  Authorized official Same address or phone
• Jenna L Seto Newland, LCSW

  • Clinical Social Worker
  • Palm Desert, CA
  • NPI 1902452956
  NPD (past)
• Cynthia Stava, APCC

  • Professional Counselor
  • Palm Springs, CA
  • NPI 1538715289
  NPD (past)
• Jonathan Richard Keller, CADAC

  • Counselor
  • Phoenix, AZ
  • NPI 1649627514
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1508276056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14252",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922554252",
            "telephone_number": "760-534-3487",
            "fax_number": "442-334-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73555 ALESSANDRO DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603635",
            "telephone_number": "760-534-3487",
            "fax_number": "442-334-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE TIGER RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-217-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia V Blanco Vasquez
• Brooke Blanke, MS CCC-SLP
• Wesley Blizzard, RPH
• Vaiana Bloch
• Blue Lotus Acupuncture Inc
• Shyanne Blythe
• Marilynn Jean Bobst, RN, RAS
• Body Symmetry Medical Group, PC
• Xiomaria Boga
• Kristen Lee Bohnet, D.C., L.AC.

• Clinical Social Worker in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.