NPIMap

Organization Active NPI

Gateway Residential Programs Hickory House

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Orangevale, CA
National Provider Identifier
1528684362
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
GATEWAY RESIDENTIAL PROGRAMS HICKORY HOUSE
Practice address
7327 Hickory Ave
Orangevale, CA 95662-2426
Phone
(916) 721-1259
Fax
(916) 782-4544
NPI assigned
Jun 17, 2020
Organization subpart
Yes
Parent organization
GATEWAY RESIDENTIAL PROGRAMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Jeff Beesley, LMFT
Title
Executive Director
Phone
(916) 782-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

7327 Hickory Ave
Orangevale, CA 95662-2426

Mailing address

1780 Vernon St Ste 1
Roseville, CA 95678-6311
Phone (916) 782-1111

National Provider Directory

National Provider Directory
Tax ID family
Gateway Residential Programs Fair Oaks House6 organizations share this tax ID, including this one
Part of
Gateway Residential Programs Fair Oaks House

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1528684362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 VERNON ST STE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786311",
            "telephone_number": "916-782-1111",
            "fax_number": "916-782-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7327 HICKORY AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956622426",
            "telephone_number": "916-721-1259",
            "fax_number": "916-782-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY RESIDENTIAL PROGRAMS HICKORY HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY RESIDENTIAL PROGRAMS",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BEESLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-782-1111",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.