Organization Active NPI

Gateway to Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carver, MA
National Provider Identifier
1043071186
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GATEWAY TO WELLNESS, PLLC
Practice address
1 Carver Square Blvd
Carver, MA 02330-1200
Phone
(774) 404-4896
Fax
(774) 209-4932
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Veronica Christina Lee, PMHNPNPI 1669073805
Title
Ceo
Phone
(774) 404-4896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1 Carver Square Blvd
Carver, MA 02330-1200

Mailing address

PO Box 591
West Wareham, MA 02576-0591
Phone (774) 404-4896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240228002376 MA Part B Supplier - Clinic/Group Practice 6507201670 Receives reassigned benefits from 1 practitioner
Practice locations: Carver, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1043071186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025760591",
            "telephone_number": "774-404-4896",
            "fax_number": "774-209-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARVER SQUARE BLVD",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "023301200",
            "telephone_number": "774-404-4896",
            "fax_number": "774-209-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY TO WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-404-4896",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carver, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.