GATEWAY PROFESSIONAL GROUP (NPI# 1396844544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396844544 |
| Entity Type | Organization |
| Organization Name | GATEWAY PROFESSIONAL GROUP |
| Practice Address |
208 Governor St Providence RI 02906-3246 |
| Practice Telephone | 4014903563 |
| Practice Fax Number | 4014903569 |
| Mailing Telephone | 4014903563 |
| Mailing Fax Number | 4014903569 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOYCE A FACTEAU (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4017248400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
208 GOVERNOR ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376572651 | Gloria Thamara Davis | Psychiatry & Neurology | 208 Governor St, Second Floor, Providence, RI 02906-3246 | 2006-06-30 |
| 1952947772 | New View Health and Wellness LLC | Nurse Practitioner | 208 Governor St, Providence, RI 02906-3239 | 2019-11-27 |
| 1023585643 | Claire Jennette Naughton | Massage Therapist | 208 Governor St, Providence, RI 02906-3246 | 2018-11-01 |
| 1154874675 | Katherine Marie Williams | Acupuncturist | 208 Governor St, Providence, RI 02906-3239 | 2016-08-02 |
| 1275977597 | Lynne A Adams | Counselor | 208 Governor St, Providence, RI 02906-3246 | 2013-04-18 |
| 1043374010 | Sandra Powers | Marriage & Family Therapist | 208 Governor St, Providence, RI 02906-3246 | 2006-12-21 |
| 1174684682 | Deborah Byron | Counselor | 208 Governor St, Providence, RI 02906-3246 | 2006-12-12 |
| 1144306986 | Pauline Ouellette | Social Worker | 208 Governor St, Providence, RI 02906-3246 | 2006-10-27 |
| 1902988660 | Lisa Reichstein | Social Worker | 208 Governor St, Providence, RI 02906-3246 | 2006-10-20 |
| 1770673907 | Melanie Lane | Social Worker | 208 Governor St, Providence, RI 02906-3246 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010118 | Mpch | Exclusive Provider Organization | 149 Pomona Ave, Providence, RI 02908-5123 | 2015-04-07 |
| 1639564891 | New England Dental | Exclusive Provider Organization | 1387 Broad Street, Providence, RI 02905 | 2015-04-03 |
| 1124297536 | Specialized Education of Ri | Exclusive Provider Organization | 100 Houghton St, Providence, RI 02904-1013 | 2008-02-29 |
| 1740553510 | Mount Logan Chiropractic Inc | Exclusive Provider Organization | 267 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2012-02-09 |
| 1083690044 | Pace Organization of Ri | Exclusive Provider Organization | 225 Chapman St, Providence, RI 02905-4533 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386762698 | Joyful Learning Child Academy | Exclusive Provider Organization | 1935 Kingstown Rd, Wakefield, RI 02879-1616 | 2007-03-26 |
| 1679638530 | Vantage Point | Exclusive Provider Organization | 1 James P Murphy Highway, Suite 103, West Warwick, RI 02893 | 2006-12-22 |
| 1790791069 | Veterans Affairs Medical Center | Exclusive Provider Organization | 132 Northbridge Ave, Warwick, RI 02886-2824 | 2006-07-31 |
| 1730634254 | Daniel T Shreve Md Inc | Exclusive Provider Organization | 47 Hazard Ave, East Providence, RI 02914-3309 | 2016-08-25 |
| 1487932836 | Dmr Family & Cosmetic Dentistry | Exclusive Provider Organization | 31 Crestview Dr, Westerly, RI 02891-2901 | 2011-08-02 |
| 1972756138 | Life Force Hypnosis, LLC | Exclusive Provider Organization | 1845 Post Rd, Suite 10, Warwick, RI 02886-1543 | 2008-10-30 |
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.