| Name: | Gateway Professional Group, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 22 Apr 1998 (27 years ago) |
| Date of Dissolution: | 02 May 2018 (7 years ago) |
| Date of Status Change: | 02 May 2018 (7 years ago) |
| Identification Number: | 000100208 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 208 GOVERNOR STREET, PROVIDENCE, RI, 02906, USA |
| Purpose: | TO EMPLOY LICENSED SOCIAL WORKERS AND OTHER PROFESSIONALS TO PROVIDE MENTAL HEALTH CARE AND SUBSTANCE ABUSE TREATMENT SERVICES TO PATIENTS. |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396844544 | 2006-09-22 | 2020-08-22 | 208 GOVERNOR ST, PROVIDENCE, RI, 029063246, US | 208 GOVERNOR ST, PROVIDENCE, RI, 029063246, US | |||||||||||||||
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| Phone | +1 401-490-3563 |
| Fax | 4014903569 |
Authorized person
| Name | JOYCE A FACTEAU |
| Role | CREDENTIALING COORDINATOR |
| Phone | 4017248400 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ADLER POLLOCK & SHEEHAN P.C. | Agent | ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SCOTT DICHRISTOFERO | PRESIDENT | 249 ROOSEVELT AVENUE PAWTUCKET, RI 02860 USA |
| Number | Name | File Date |
|---|---|---|
| 201863345770 | Articles of Dissolution | 2018-05-02 |
| 201861236610 | Annual Report | 2018-03-30 |
| 201730486890 | Annual Report | 2017-01-19 |
| 201690262820 | Annual Report | 2016-01-08 |
| 201553769860 | Annual Report | 2015-01-15 |
| 201432820460 | Annual Report | 2014-01-13 |
| 201310125870 | Annual Report | 2013-01-22 |
| 201289003610 | Annual Report | 2012-02-06 |
| 201175714280 | Annual Report | 2011-02-28 |
| 201058664660 | Annual Report | 2010-02-25 |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
