Gateway Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GATEWAY PSYCHIATRIC SERVICES LLC

Practice address

1330 San Pedro Dr NE Ste 205F
Albuquerque, NM 87110-6749

Phone

(240) 413-0936

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Emmanuel Kpwe NjiNPI 1831793710

Title

Owner

Phone

(240) 413-0936

Specialties & licenses 1

Addresses

Other names 2

• Gateway Psychiatric services Doing business as
• Harmonized Psychiatric Services Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM, OH2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Emmanuel Kpwe Nji, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sherman, TX
  • NPI 1831793710

  NM, OH

  Medicare reassignment NPD Authorized official
• Elvis Ondieki

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1982466520
  Medicare reassignment NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1427726652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE STE 205F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106749",
            "telephone_number": "240-413-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE STE 205F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106749",
            "telephone_number": "240-413-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "NJI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "KPWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-413-0936"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "2800 N Dustin Ave Apt 122",
            "city": "Farmington",
            "state": "NM",
            "country_code": "US",
            "postal_code": "874012139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gateway Psychiatric services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harmonized Psychiatric Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie Gately, RDN, LD
• Trevor Gates-Crandall, PHD, LCSW
• Deitra Gates, CNS
• Robert Grant Gates, LPCC
• Steven Gates, PHARMD, RPH
• Ashton Lynette Gatewood
• James Darrell Gatewood, MD
• Robin Gatlin, RDH
• Faiza Gauba
• Tess Amy Gaudet, LPCC

• Psychiatric/Mental Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.