NPIMap

Organization Active NPI

Gateway Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pawtucket, RI
National Provider Identifier
1821078932
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
RI633 Issued in RI
Legal business name
GATEWAY HEALTHCARE INC
Practice address
101-103 Bacon St
Pawtucket, RI 02860-5542
Phone
(401) 722-3560
Fax
(401) 722-3593
NPI assigned
Jan 17, 2006
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Peter K Markell
Title
Evp & Cfo
Phone
(401) 444-7914

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
Developmentally Disabled Services Day Training Agency 251C00000X RI633 RI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X RI633 RI Primary
Multi-Specialty Clinic/Center 261QM1300X RI633 RI
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X RI633 RI
Substance Abuse Rehabilitation Facility 324500000X
Community/Behavioral Health Agency 251S00000X RI633 RI

Addresses

Primary practice location

101-103 Bacon St
Pawtucket, RI 02860-5542

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 724-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302001066 RI Part B Supplier - Clinic/Group Practice 7719874908 Receives reassigned benefits from 146 practitioners
Practice locations: Westerly, RI; Wakefield, RI; Smithfield, RI; Riverside, RI; Providence, RI; Pawtucket, RI; Central Falls, RI; Charlestown, RI…

National Provider Directory

National Provider Directory
Tax ID family
Gateway Healthcare Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

132 Hunt St
Central Falls, RI 02863
Phone (401) 726-1090

1471 Elmwood Ave
Cranston, RI 02910
Phone (401) 490-7320

311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610

70 East St
Cranston, RI 02920
Phone (401) 463-8829

83 Rolfe Sq
Cranston, RI 02910
Phone (401) 725-8400

823 Main St
Hope Valley, RI 02832

146 Waterman Ave
Ste D
North Providence, RI 02911

105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560

150 Walcott St
Pawtucket, RI 02860

160 Beechwood Ave
Pawtucket, RI 02860
Phone (401) 722-5573

25 N Bend St
Pawtucket, RI 02860

575 Fountain St
Pawtucket, RI 02860
Phone (401) 724-0535

658 Main St
Pawtucket, RI 02860

1 Virginia Ave
Ste 200
Providence, RI 02905

1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100

25 Cedar Swamp Rd
Smithfield, RI 02917
Phone (401) 231-7760

55 Cherry Ln
Wakefield, RI 02879
Phone (401) 789-1367

422 Post Rd
Warwick, RI 02888
Phone (401) 481-2449

79 Asylum St
Woonsocket, RI 02895
Phone (401) 765-4040

80 Hamlet Ave
Woonsocket, RI 02895
Phone (401) 766-1665

Practitioners & affiliated clinicians

Practitioners 421

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 421

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1821078932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-724-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-103 BACON ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605542",
            "telephone_number": "401-722-3560",
            "fax_number": "401-722-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MARKELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "401-444-7914"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "RI",
            "license": "RI633",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "RI",
            "license": "RI633",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "RI",
            "license": "RI633",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "RI",
            "license": "RI633",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "RI633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.