GATEWAY DETROIT
NPI 1831508522
Preferred Provider Organization in Detroit, MI

NPI Status: Active since August 06, 2014

Contact Information

11457 SHOEMAKER ST
DETROIT, MI
ZIP 48213
Phone: (313) 331-3435
Fax: (313) 924-0609

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  • Organization
  • Preferred Provider Organization

About GATEWAY DETROIT

This page provides the complete NPI Profile along with additional information for Gateway Detroit, a provider established in Detroit, Michigan operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1831508522 assigned on August 2014. The practitioner's primary taxonomy code is 305R00000X with license number 6803086187 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Frederick Carr B.s.,s.s.t (Social Worker/case Manager)

NPI
1831508522
Provider Name
GATEWAY DETROIT
Entity Type
Organization
Location Address
11457 SHOEMAKER ST DETROIT, MI 48213
Location Phone
(313) 331-3435
Location Fax
(313) 924-0609
Mailing Address
11457 SHOEMAKER ST DETROIT, MI 48213
Mailing Phone
(313) 331-3435
Mailing Fax
(313) 924-0609
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-06-2014
Last Update Date
08-06-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
6803086187
License State
MI
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FREDERICK CARR B.S.,S.S.T

Authorized Official Title
SOCIAL WORKER/CASE MANAGER
Authorized Official Phone
(313) 331-3435

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831508522
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28611001654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 0 + 1 + 6 + 5 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1831508522 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083626501DR. SATYAMURTHY KOTAMRAJU MD
Individual
Psychiatry & Neurology (Clinical Neurophysiology)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1326265133MISS PATRICIA JACKSON MSW
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1548487341MISS ESTHER CLAXTON MSW
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1295952000MISS ROSHELL GEORGE MSW
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1437417805CLINICAL PERFECTION
Organization
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 207-0278
1619386588MRS. ANGELISA PRINCE LLMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1538578497 KRISTYN BRYSON
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1164831012MS. MARY YOUNG LLPC
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1689083404 ALLEN PECK MSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1821407537 FREDERICK CARR
Individual
Social Worker11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1134538846MISS LAMA YOUNES BS, SST
Individual
Social Worker11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1639588338GATEWAY DETROIT EAST COMMUNITY
Organization
Community/Behavioral Health11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1053720706 MATTHEW BROWN LLMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1932509130MS. TIFFANY REECE LLBSW
Individual
Social Worker11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1518367390 AURORA CEBU
Individual
Registered Nurse11457 SHOEMAKER ST
DETROIT, MI 48213
(248) 227-9843
1619366705MR. MOIDUNNY N ABDUTTY SR. LMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1609238674SATYAMURTHY KOTAMRAJU MD PC
Organization
Psychiatry & Neurology (Clinical Neurophysiology)11457 SHOEMAKER ST
DETROIT, MI 48213
(248) 202-5589
1053720672MS. LAUREN HYDE SWANSON LMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 924-0469
1205854916DETROIT EAST, INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1265833495MS. GWENDOLYN WRIGHT
Individual
Social Worker11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831508522, enumerated in the NPI registry as an "organization" on August 06, 2014

The provider is located at 11457 Shoemaker St Detroit, Mi 48213 and the phone number is (313) 331-3435

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

This NPI record was last updated on August 06, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.