Organization Active NPI

Gaye C. Beatty, LLC

  • Community/Behavioral Health Agency
  • Allentown, PA
National Provider Identifier
1538438643
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW001507-L Issued in PA
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

Updated by the provider on Dec 19, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
645751OtherPAMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.