Active NPI
Gaye C. Beatty, LLC
- Community/Behavioral Health Agency
- Allentown, PA
National Provider Identifier
1538438643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CW001507-L
- Legal business name
- GAYE C. BEATTY, LLC
- Practice address
- 501 N 17TH St
Suite 214
Allentown, PA 18104-5044 - Phone
- (610) 434-0962
- NPI assigned
- Dec 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gaye C. Beatty, LCSW, BCD
- Title
- Clinical Social Worker
- Phone
- (610) 434-0962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CW001507-L | PA | Primary |
Addresses
Primary practice location
501 N 17TH St
Suite 214
Allentown, PA 18104-5044
Mailing address
3612 Lenaire Rd
Bethlehem, PA 18020-1216
Phone (610) 419-4190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 645751 | Other | PA | MEDICARE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
501 N 17th St
Ste 214
Allentown, PA 18104
Phone (610) 434-0962
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Allentown, PA
- NPI 1184805350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324252800000",
"number": "1538438643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 LENAIRE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180201216",
"telephone_number": "610-419-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 17TH ST",
"address_2": "SUITE 214",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045044",
"telephone_number": "610-434-0962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAYE C. BEATTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-19",
"last_updated": "2011-12-19",
"status": "A",
"authorized_official_last_name": "BEATTY",
"authorized_official_first_name": "GAYE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "610-434-0962",
"authorized_official_credential": "LCSW, BCD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "CW001507-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "645751",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.