Gateway Academy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GATEWAY ACADEMY, LLC

Practice address

941 E Cattail Dr
Draper, UT 84020-8583

Phone

(801) 523-3479

Fax

(801) 437-2984

NPI assigned

Sep 4, 2015

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Evans

Title

Bo

Phone

(801) 766-6604

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gateway Academy LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Gateway Academy LLC Draper

  • Psychiatric Residential Treatment Facility
  • Draper, UT
  • NPI 1912165614
  NPD tax ID
• Gateway Academy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
  • NPI 1205291739
  NPD tax ID
• Gateway Academy, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Salt Lake City, UT
  • NPI 1427425859
  NPD tax ID

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1720456981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 E CATTAIL DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208583",
            "telephone_number": "801-523-3479",
            "fax_number": "801-437-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 E CATTAIL DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208583",
            "telephone_number": "801-523-3479",
            "fax_number": "801-437-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BO",
        "authorized_official_telephone_number": "801-766-6604"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "14178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT LICENSE",
            "identifier": "95860",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Arch Gardner
• Shelby Gardner
• Garlick Plastic Surgery PLLC (Modern Contour Plastic Surgery)
• Jared Garlick, MD
• Gateway Academy LLC Draper
• Gathering Ground Therapy PLLC
• Todd Gay, PA-C
• Sharifa Jamila Gayle, DPT
• Markelle Gee
• Maaian Gefen, RN, DEM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Draper, UT
• Providers in Draper, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.