GATEWAY CONSULTATION & COUNSELING SERVICES LLC
NPI 1528267291
Psychologist - Clinical in Milton, MA

Q: What is Gateway Consultation & Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 13, 2007

20 AUSTIN ST, MILTON, MA 02186(781) 843-2555(781) 843-9199 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gateway Consultation & Counseling Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY CONSULTATION & COUNSELING SERVICES LLC (NPI 1528267291) is a healthcare organization registered as a clinical in Milton, Massachusetts and active in the NPI registry since July 2007. The organization lists David P Bullis, Owner, as its authorized official.

NPPES Registry Identity

NPI1528267291

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGATEWAY CONSULTATION & COUNSELING SERVICES LLC

Location Address20 AUSTIN STMilton, MA 02186-1104

Mailing AddressPo Box 366422Hyde Park, MA 02136-0030 · (781) 843-2555 · Fax (781) 843-9199

Phone(781) 843-2555

Fax(781) 843-9199

Organization SubpartNo

Authorized OfficialDavid P BullisOwner · (617) 680-8096

Enumeration DateJuly 13, 2007

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1528267291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 6826

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

20 AUSTIN ST, Milton, MA 02186

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Other Identifiers 2

Medicaid9758551MA

OtherW10653MA · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gateway Consultation & Counseling Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gateway Consultation & Counseling Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Bullis, PHD

Clinical Psychologist

NPI 1760445977

MGH 55 FRUIT STREET
Boston, MA 02114

(617) 219-1279

✔ PECOS✔ Accepts Medicare7.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Consultation & Counseling Services LLC's NPI number?

The NPI number for Gateway Consultation & Counseling Services LLC is 1528267291. It was assigned to this organization in the NPPES registry on July 13, 2007.

Where is Gateway Consultation & Counseling Services LLC located?

Gateway Consultation & Counseling Services LLC is located at 20 Austin St, Milton, MA 02186. The listed phone number is (781) 843-2555.

What is Gateway Consultation & Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gateway Consultation & Counseling Services LLC enrolled in Medicare?

Yes. Gateway Consultation & Counseling Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Consultation & Counseling Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Gateway Consultation & Counseling Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gateway Consultation & Counseling Services LLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.