GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1366737330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366737330 |
Entity Type | Organization |
Organization Name | GATEWAY BEHAVIORAL HEALTH SERVICES |
Other Organization Name | ACT TEAM |
Practice Address |
3441 Cypress Mill Rd Brunswick GA 31520-2878 |
Mailing Address |
2 Lodge Rd Hwy 17 North Brunswick GA 31525-2011 |
Practice Telephone | 9125548498 |
Enumeration Date | 2011-06-17 |
Last Update Date | 2011-06-17 |
Authorized Official Name | WAKEITHA VAIL (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 9125548498 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
ACT TEAM | Doing Business As Name - 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 |
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 |
1407980303 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 941 E G Miles Pkwy, Hinesville, GA 31313-4514 | 2007-03-15 |
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 |
3441 CYPRESS MILL RD |
City | BRUNSWICK |
State | GA |
Zip Code | 31520-2878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922360239 | Lillie Cares Health Services, LLC | Community/Behavioral Health | 3441 Cypress Mill Rd, Ste 203-4, Brunswick, GA 31520-2878 | 2012-06-12 |
1710259783 | Hands of Joy Homecare Inc | Home Health | 3441 Cypress Mill Rd, Suite 201-6, Brunswick, GA 31520-2878 | 2012-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
Find all providers in zip 31520 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710380993 | Gateway Behavioral Health | Community/Behavioral Health | 6129 New Jesup Hwy, Brunswick, GA 31523-4201 | 2014-10-02 |
1396153136 | Southeast Support Services | Community/Behavioral Health | 139 Altama Connector # 193, Brunswick, GA 31525-1888 | 2014-07-24 |
1033556493 | The Resiliency Institute, Inc | Community/Behavioral Health | 706 G St, Suite 101, Brunswick, GA 31520-6749 | 2013-05-25 |
1528312451 | Cantor LLC. | Community/Behavioral Health | 1638 Norwich St, Brunswick, GA 31520 | 2012-10-30 |
1821359993 | 1 R.u.s.h. Inc. | Community/Behavioral Health | 3441 Cypress Mill Rd Ste 203-4, Brunswick, GA 31520-2878 | 2012-06-05 |
1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
1750583670 | Morningstar Children and Family Services, Inc. | Community/Behavioral Health | 3596 Darien Hwy, Suites 4 & 5, Brunswick, GA 31525-3034 | 2007-06-04 |
1760683502 | The Resiliency Institiute | Community/Behavioral Health | 501 Mansfield St, Brunswick, GA 31520 | 2007-05-30 |
1063542074 | Merrymeeting Behavioral Health Associates | Community/Behavioral Health | 14 Maine St # 9, Suite 306a, Brunswick, ME 04011-2026 | 2007-03-07 |
Find all providers in BRUNSWICK |
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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.