Gateway Psychiatric Group, LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

100250 Issued in MO

Legal business name

GATEWAY PSYCHIATRIC GROUP, LLC

Practice address

11710 Old Ballas Rd
Suite 110
Creve Coeur, MO 63141-7076

Phone

(314) 567-1958

Fax

(314) 567-0037

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Robinson, M.D.NPI 1245342161

Title

Owner

Phone

(314) 567-1958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

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

• Gordon H. Robinson, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1245342161
  Medicare reassignment Care Compare group Authorized official
• Rebecca Kristine Ramos Palmer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1558845065
  Medicare reassignment Care Compare group NPD
• Rose M Psara, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1881246833
  Medicare reassignment Care Compare group
• Ann Marie Chartrand, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1336678366

  MO

  Medicare reassignment

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1902244825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD",
            "address_2": "SUITE 110",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-567-1958",
            "fax_number": "314-567-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD",
            "address_2": "SUITE 110",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-567-1958",
            "fax_number": "314-567-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PSYCHIATRIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-567-1958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MO",
            "license": "100250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikael Garri, MD
• Meredith Nicole Garrison, R.PH.
• Gateway Direct Primary Care JV LLC (Gateway Direct Primary Care)
• Gateway Low Vision LLC
• Gateway Neuropsychology, LLC
• Misrak Gebissa
• Lacey Ann Gebke, LIMITED PERMIT
• George H Dowell, MD, LLC (George H Dowell MD)
• Claycie Leighann Gerlt, LCSW
• James A Gerst, MD

• Prescribing (Medical) Psychologist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Prescribing (Medical) Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.