NPIMap

Organization Active NPI

Gateway Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Princeton, IL
National Provider Identifier
1639600034
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
17006 Issued in IL
Legal business name
GATEWAY SERVICES, INC
Practice address
526 S Bureau Valley Pkwy
Suite B
Princeton, IL 61356-2046
Phone
(815) 875-4548
Fax
(815) 875-8602
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Jeffrey M Dean
Title
Pres/Ceo
Phone
(815) 875-4548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 17006 IL Primary

Addresses

Primary practice location

526 S Bureau Valley Pkwy
Suite B
Princeton, IL 61356-2046

Mailing address

PO Box 535
Princeton, IL 61356-0535
Phone (815) 875-4548

National Provider Directory

National Provider Directory
Tax ID family
Gateway Services Inc3 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.

Locations

526 S Bureau Valley Pkwy
Ste B
Princeton, IL 61356
Phone (815) 875-4548

535 Elm Pl
Ste 1
Princeton, IL 61356

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1639600034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613560535",
            "telephone_number": "815-875-4548",
            "fax_number": "815-875-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S BUREAU VALLEY PKWY",
            "address_2": "SUITE B",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562046",
            "telephone_number": "815-875-4548",
            "fax_number": "815-875-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "815-875-4548"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "17006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.