Active NPI
Gateway Foundation, Inc. - BHC
- Adult Mental Health Clinic/Center
- Peoria, IL
National Provider Identifier
1780430678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- GATEWAY FOUNDATION, INC. - BHC
- Practice address
- 4812 N Sheridan Rd
Peoria, IL 61614-5969 - Phone
- (877) 381-6538
- NPI assigned
- Apr 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ehiman Uwidia
- Title
- Contracts Director
- Phone
- (312) 663-1130
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4812 N Sheridan Rd
Peoria, IL 61614-5969
Mailing address
PO Box 463
Chicago, IL 60690-0463
Phone (312) 663-1130
Other names 1
- Alpharus Health
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Foundation Inc - BHC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1780430678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 463",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606900463",
"telephone_number": "312-663-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 N SHERIDAN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145969",
"telephone_number": "877-381-6538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY FOUNDATION, INC. - BHC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "UWIDIA",
"authorized_official_first_name": "EHIMAN",
"authorized_official_title_or_position": "CONTRACTS DIRECTOR",
"authorized_official_telephone_number": "312-663-1130"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alpharus Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.