Gateway Youth Development Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GATEWAY YOUTH DEVELOPMENT PROGRAM

Practice address

1320 Madison Ave
Toledo, OH 43604-5452

Phone

(419) 378-9899

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

Katrice Perry

Title

Executive Director

Phone

(419) 378-9899

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1619533049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 HILLTOP LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157707",
            "telephone_number": "419-378-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045452",
            "telephone_number": "419-378-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY YOUTH DEVELOPMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KATRICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-378-9899"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samevelle Gaston
• Sarah Catherine Gaston, DO
• Tawann M Gaston
• Alice Lee Gates, MM, BCBA, COBA
• Kate Marie Gates, DO
• Barbara Sue Gatewood, PTA
• Cara M Gatto-Weis, M.D.
• George Gauamis, CRNA
• Renella Alcaraz Gauamis, APRN,CNP
• Monica Gaulden

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.