OrganizationActive
Gateway Academy, LLC
NPI 1205291739 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT
Provider details
- NPI number
- 1205291739
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angie Evans, Bo(801) 766-6604
- License
- 17567 (UT)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 31810 (UT)
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1390 S 1100 E Ste 203
Salt Lake City, UT 84105-2463
Phone: (801) 523-3479
Street-level locationGet directions
Mailing address
1390 S 1100 E Ste 203
Salt Lake City, UT 84105-2463
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2016-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.