GATEWAY RECOVERY INSTITUTE – NPI #1699221879
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

GATEWAY RECOVERY INSTITUTE is a substance abuse rehabilitation facility located in MESA, AZ. NPPES has assigned the NPI number 1699221879 to GATEWAY RECOVERY INSTITUTE on August 29, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GATEWAY RECOVERY INSTITUTE” is a dba name, the actual legal business name for this organization is GATEWAY ADDICTIONOLOGY SERVICES, PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GATEWAY RECOVERY INSTITUTE below.

NPI Profile for
GATEWAY ADDICTIONOLOGY SERVICES, PLLC

NPI Number
1699221879
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GATEWAY ADDICTIONOLOGY SERVICES, PLLC
Doing Business As (dba): GATEWAY RECOVERY INSTITUTE
Primary location
4862 E. BASELINE ROAD
SUITE 108
MESA, AZ 85206
Phone: (480) 981-2405 Fax: (480) 981-2407
Mailing address
4838 E. BASELINE ROAD
SUITE 108
MESA, AZ 85206-4672
Phone: (480) 981-2400 Fax: (480) 981-2407
Organization Subpart
No
Authorized Official
BRIAN DELISIO
PRESIDENT/CEO
Phone: (480) 981-2405
Updated
Identifiers

Identifiers for GATEWAY RECOVERY INSTITUTE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPIAZ1699221879
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 AZ BH5407
207LA0401X
- Anesthesiology / Addiction Medicine		 AZ 43504

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.