Gateways, PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

582260 Issued in ME

Legal business name

GATEWAYS, PA

Practice address

4 Market SQ
Suite 1
Houlton, ME 04730-1735

Phone

(207) 532-3222

Fax

(207) 532-3288

NPI assigned

Jan 26, 2009

Last updated

Aug 12, 2009By 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

Ms. Linda R McCord, LCSW, LADC

Title

Ceo/Owner

Phone

(207) 532-3222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1982842274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARKET SQ",
            "address_2": "SUITE 1",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301735",
            "telephone_number": "207-532-3222",
            "fax_number": "207-532-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARKET SQ",
            "address_2": "SUITE 1",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301735",
            "telephone_number": "207-532-3222",
            "fax_number": "207-532-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAYS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "207-532-3222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "582260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424610000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Goodrich, LCSW

• Community/Behavioral Health Agency in Houlton, ME
• Providers in Houlton, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.