NPIMap

Organization Active NPI

Gateway Residential Programs

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Roseville, CA
National Provider Identifier
1609412063
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
Practice address
1780 Vernon St Ste 1
Roseville, CA 95678-6311
Phone
(916) 782-1111
Fax
(916) 782-4544
NPI assigned
Nov 20, 2019
Organization subpart
No

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Mental Illness Community Based Residential Treatment Facility 320800000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1780 Vernon St Ste 1
Roseville, CA 95678-6311

Mailing address

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

Other practice location 1

11990 Fair Oaks Blvd
Fair Oaks, CA 95628-2770
Phone (916) 967-1401

Other practice location 2

7605 Gingerblossom Dr
Citrus Heights, CA 95621-1918
Phone (916) 722-7952

Other practice location 3

7327 Hickory Ave
Orangevale, CA 95662-2426
Phone (916) 721-1259

Other practice location 4

7441 Winding Way
Fair Oaks, CA 95628-6749
Phone (916) 966-1117

Other practice location 5

7241 Palm Ave
Fair Oaks, CA 95628-3314
Phone (916) 965-8828

National Provider Directory

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

Other organizations with this tax ID 5

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

Locations

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

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1609412063",
    "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": "1780 VERNON ST STE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786311",
            "telephone_number": "916-782-1111",
            "fax_number": "916-782-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11990 Fair Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956282770",
            "country_code": "US",
            "telephone_number": "916-967-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7605 Gingerblossom Dr",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956211918",
            "country_code": "US",
            "telephone_number": "916-722-7952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7327 Hickory Ave",
            "address_purpose": "LOCATION",
            "city": "Orangevale",
            "state": "CA",
            "postal_code": "956622426",
            "country_code": "US",
            "telephone_number": "916-721-1259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7441 Winding Way",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956286749",
            "country_code": "US",
            "telephone_number": "916-966-1117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7241 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283314",
            "country_code": "US",
            "telephone_number": "916-965-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GATEWAY RESIDENTIAL PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "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": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Roseville, 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.