NPIMap

Organization Active NPI

Gateway Foundation, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, IL
National Provider Identifier
1851740559
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
05380051 Issued in IL
Legal business name
GATEWAY FOUNDATION, INC.
Practice address
2323 Stevenson Dr
Springfield, IL 62703-4331
Phone
(877) 505-4673
Fax
(217) 529-9151
NPI assigned
Jun 3, 2016
Organization subpart
Yes
Parent organization
GATEWAY FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Thomas P Britton, DRPH,LPC,LCAS, CCS
Title
President/Ceo
Phone
(312) 663-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 05380051 IL Primary

Addresses

Primary practice location

2323 Stevenson Dr
Springfield, IL 62703-4331

Mailing address

55 E Jackson Blvd
Suite 1500
Chicago, IL 60604-4466
Phone (312) 663-1130

National Provider Directory

National Provider Directory
Tax ID family
Gateway Foundation Inc - BHC48 organizations share this tax ID, including this one
Part of
Gateway Foundation Inc - BHC

Other organizations with this tax ID 44

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

View all 44

Locations

2323 Stevenson Dr
Springfield, IL 62703
Phone (217) 529-9266

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1851740559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E JACKSON BLVD",
            "address_2": "SUITE 1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044466",
            "telephone_number": "312-663-1130",
            "fax_number": "312-663-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 STEVENSON DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034331",
            "telephone_number": "877-505-4673",
            "fax_number": "217-529-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY FOUNDATION, INC.",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "312-663-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH,LPC,LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "05380051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.