OrganizationActive
Gateway Behavioral Health Services
NPI 1063545762 · Psychologist · Woodbine, GA
Provider details
- NPI number
- 1063545762
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- William Parks, Chief Financial Officer(912) 554-8464
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 East 15th Street
Woodbine, GA 31569
Phone: (912) 576-5075
Fax: (912) 576-3543
Street-level locationGet directions
Mailing address
700 Coastal Village Dr
Brunswick, GA 31520-1974
Other names (DBA / former)
- Other name
- Gateway Bhs - Camden Tc Comp
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2011-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.