Gateway Recovery Center II, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GATEWAY RECOVERY CENTER II, LLC

Practice address

6840 78TH Ave N
Brooklyn Park, MN 55445-2760

Phone

(651) 587-7181

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie Michele Goode, LADC, MBA

Title

Executive Director

Phone

(651) 587-7181

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily A. Brunner, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Inver Grove Heights, MN
  • NPI 1659579712
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1760118079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 CELIA RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183604",
            "telephone_number": "651-698-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452760",
            "telephone_number": "651-587-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY RECOVERY CENTER II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-587-7181",
        "authorized_official_credential": "LADC, MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Marie Gallentine, PHARM D.
• Gama Healthcare (Care Partnas)
• Adjoa Garbrah-Aidoo, RN-BSN
• Agnes D Garley-Alabi
• Anupam M Gatecha, BDS
• Susan Elizabeth Prange Gatto, LICSW
• Daniel Gboeah
• Edna Marie Geddes, PSYD.
• Gentle Heart Homecare
• Genyo Family Care LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.