GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1073646766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073646766 |
| Entity Type | Organization |
| Organization Name | GATEWAY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | GATEWAY BHS - EFFINGHAM TC NOW |
| Practice Address |
275 First Street Extention Springfield GA 31329 |
| Mailing Address |
700 Coastal Village Drive Brunswick GA 31520-1974 |
| Practice Telephone | 9127543040 |
| Practice Fax Number | 9127547108 |
| Mailing Telephone | 9125548510 |
| Mailing Fax Number | 9122645965 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | MRS. RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9125548498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000622553R | 05 | |
| GA | 000622553G | 05 |
| Other Name | Type Code |
|---|---|
| Gateway BHS - Effingham TC Now | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1902451693 | Gateway Behavioral Health Services | Community/Behavioral Health | 210 E 15th St Ste A, Woodbine, GA 31569-5501 | 2019-08-08 |
| 1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
| 1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
| 1750672242 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6055 New Jesup Hwy, Brunswick, GA 31523-1629 | 2011-05-02 |
| 1497054522 | Gateway Behavioral Health Services | Counselor | 3 Oglethorpe Professional Blvd, Savannah, GA 31406-3603 | 2011-03-15 |
| 1124254321 | Gateway Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 121 Burgess Rd, Brunswick, GA 31523-9311 | 2009-06-03 |
| 1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
| 1356587224 | Gateway Behavioral Health Services | Counselor | 515 E. 63rd Street, Suite 1, Savannah, GA 31405 | 2008-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY BEHAVIORAL HEALTH SERVICES | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Street Address |
275 FIRST STREET EXTENTION |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1437288669 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street Extention, Springfield, GA 31329 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| 1104339811 | Stacie Colello | Registered Nurse | 802 Highway 119 South, Springfield, GA 31329 | 2017-11-16 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881664720 | Harold Davies Alleman | Psychologist | 1345 N Fountain Blvd, Springfield, OH 45504-1422 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457758229 | Kirsten Allen | Psychologist | 80 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2014-11-22 |
| 1396924692 | Michele J. Rusin, Ph.d PC | Psychologist | 1776 Briarcliff Rd Ne, Atlanta, GA 30306-2106 | 2007-11-02 |
| 1649349689 | Michele Jean Rusin | Psychologist | 1276 Mcconnell Drive, Suite C, Decatur, GA 30033-3506 | 2006-11-06 |
| 1124065818 | Anna B Moore | Psychologist | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2006-06-01 |
| City | SPRINGFIELD |
| Zip Code | 31329 |
Please comment or provide details below to improve the information on GATEWAY BEHAVIORAL HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.