GATEWAY PSYCHIATRIC GROUP, LLC
NPI 1902244825
Psychologist - Prescribing (Medical) in Creve Coeur, MO

Active since June 13, 2013
11710 OLD BALLAS RD, SUITE 110, CREVE COEUR, MO 63141(314) 567-1958(314) 567-0037 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gateway Psychiatric Group, Llc NPPES

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

GATEWAY PSYCHIATRIC GROUP, LLC (NPI 1902244825) is a healthcare organization registered as a prescribing (medical) in Creve Coeur, Missouri and active in the NPI registry since June 2013. The organization lists Gordon Robinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1902244825
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameGATEWAY PSYCHIATRIC GROUP, LLC
Location Address11710 OLD BALLAS RD, SUITE 110Creve Coeur, MO 63141-7076
Mailing Address11710 Old Ballas Rd, Suite 110Creve Coeur, MO 63141-7076 · (314) 567-1958 · Fax (314) 567-0037
Fax(314) 567-0037
Organization SubpartNo
Authorized OfficialGordon RobinsonOwner · (314) 567-1958
Enumeration DateJune 13, 2013
✔ NPI 1902244825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in MO · 100250
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
11710 OLD BALLAS RD, Creve Coeur, MO 63141

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 Psychiatric Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Gateway Psychiatric Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Psychiatry
NPI 1245342161
1170 OLD BALLAS ROAD SUITE 110
St. Louis, MO 63141
(314) 567-1958
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1558845065
11116 S TOWNE SQ
Saint Louis, MO 63123
(314) 567-1958
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1881246833
11116 S TOWNE SQ
Saint Louis, MO 63123
(314) 567-1958
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1336678366
3715 PARKMOOR VILLAGE DR STE 102
Colorado Springs, CO 80917
(719) 540-2127
✔ PECOS✔ Accepts Medicare772 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 Psychiatric Group, LLC's NPI number?

The NPI number for Gateway Psychiatric Group, LLC is 1902244825. It was assigned to this organization in the NPPES registry on June 13, 2013.

Where is Gateway Psychiatric Group, LLC located?

Gateway Psychiatric Group, LLC is located at 11710 Old Ballas Rd Suite 110, Creve Coeur, MO 63141. The listed phone number is (314) 567-1958.

What is Gateway Psychiatric Group, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Gateway Psychiatric Group, LLC enrolled in Medicare?

Yes. Gateway Psychiatric Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Psychiatric Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Gateway Psychiatric Group, 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. The largest specialties are Nurse Practitioner (3) and Psychiatry (1). Of these, 1 practice within 10 miles. 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 Psychiatric Group, LLC was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.