Organization Active NPI

Gamut Behavioral Services

  • Community/Behavioral Health Agency
  • Conshohocken, PA
National Provider Identifier
1538465240
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GAMUT BEHAVIORAL SERVICES
Practice address
101 E 8TH Ave Ste 303
Conshohocken, PA 19428-1774
Phone
(267) 253-5366
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mrs. Marycate McDonoughNPI 1770724197
Title
Director
Phone
(267) 253-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

101 E 8TH Ave Ste 303
Conshohocken, PA 19428-1774

Mailing address

101 E 8TH Ave Ste 303
Conshohocken, PA 19428-1774
Phone (267) 253-5366

Other identifiers 1

IdentifierTypeStateIssuer
102565908-0002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Gamut Behavioral Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1538465240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 8TH AVE STE 303",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281774",
            "telephone_number": "267-253-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH AVE STE 303",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281774",
            "telephone_number": "267-253-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMUT BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "MARYCATE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-253-5366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102565908-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.