GATEWAY ADDICTIONOLOGY SERVICES PLLC NPI 1699221879

NPI Information

  • NPI: 1699221879
  • Provider Name: GATEWAY ADDICTIONOLOGY SERVICES, PLLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: GATEWAY RECOVERY INSTITUTE
  • Address: 4862 E. BASELINE ROAD
    SUITE 108
    MESA, AZ
    ZIP 85206
  • Phone: (480) 981-2405

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NPI Details

GATEWAY ADDICTIONOLOGY SERVICES, PLLC is a substance abuse rehabilitation facility in Mesa, AZ. The provider is 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. GATEWAY ADDICTIONOLOGY SERVICES, PLLC NPI is 1699221879. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gateway Recovery Institute.

The provider's business location address is:

4862 E. BASELINE ROAD
SUITE 108
MESA, AZ
ZIP 85206
Phone: (480) 981-2405
Fax: (480) 981-2407

The provider's authorized official is Brian J. Delisio .
The authorized official title is President/ceo and has the following contact phone number (480) 981-2405.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LA0401XAnesthesiologyAddiction Medicine43504ARIZONANo
2324500000XSubstance Abuse Rehabilitation FacilityBH5407ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11699221879OTHERARIZONANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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