GATEWAY FAMILY SERVICES OF ILLINOIS
NPI 1609514801
Clinic/Center - Adolescent and Children Mental Health in Potomac, IL

Q: What is Gateway Family Services Of Illinois's NPI number?

The NPI number for Gateway Family Services Of Illinois is 1609514801. It was assigned to this organization in the NPPES registry on May 26, 2022.

Q: What is Gateway Family Services Of Illinois's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since May 26, 2022

7757 US ROUTE 136, POTOMAC, IL 61865(217) 488-8006(217) 987-6386 Get Directions Write a Review

NPPES record last updated: September 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2024, May 26, 2022 (2 updates tracked since 2022).

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About Gateway Family Services Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY FAMILY SERVICES OF ILLINOIS (NPI 1609514801) is a healthcare organization registered as an adolescent and children mental health in Potomac, Illinois and active in the NPI registry since May 2022. The organization lists Michael Remole, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1609514801

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameGATEWAY FAMILY SERVICES OF ILLINOIS

Location Address7757 US ROUTE 136Potomac, IL 61865-3047

Mailing Address7757 Us Route 136Potomac, IL 61865-3047 · (217) 488-8006 · Fax (217) 987-6386

Phone(217) 488-8006

Fax(217) 987-6386

Organization SubpartNo

Authorized OfficialMichael RemoleCeo/president · (217) 488-8006

Enumeration DateMay 26, 2022

Last NPPES UpdateSeptember 21, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2024

✔ NPI 1609514801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

7757 US ROUTE 136, Potomac, IL 61865

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELYN MELISSA MATIAS LMSW

Social Worker (Clinical)