GATEWAY PROFESSIONAL SERVICES PC NPI 1568164341

NPI Information

  • NPI: 1568164341
  • Provider Name: GATEWAY PROFESSIONAL SERVICES, PC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 404 N HERSHEY RD STE B
    BLOOMINGTON, IL
    ZIP 61704
  • Phone: (877) 381-6538

Map and Directions

Get Directions

NPI Details

GATEWAY PROFESSIONAL SERVICES, PC is an adult mental health clinic center in Bloomington, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GATEWAY PROFESSIONAL SERVICES, PC NPI is 1568164341. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

404 N HERSHEY RD STE B
BLOOMINGTON, IL
ZIP 61704-560
Phone: (877) 381-6538

The provider's authorized official is Jeremy K Klemanski .
The authorized official title is Ceo and has the following contact phone number (312) 663-1130.

The enumeration date for this NPI number is 3/17/2023 and was last updated on 8/6/2024.

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
1101YM0800XCounselorMental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI