GATEWAY PSYCHOLOGICAL SERVICES, LLC
NPI 1992257240
Psychologist in St Petersburg, FL

Active since November 02, 2016
11300 4TH ST N, SUITE 115, ST PETERSBURG, FL 33716(727) 619-4477(727) 258-2348 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gateway Psychological Services, Llc NPPES

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

GATEWAY PSYCHOLOGICAL SERVICES, LLC (NPI 1992257240) is a healthcare organization registered as a psychologist in St Petersburg, Florida and active in the NPI registry since November 2016. The organization lists Michael Missory, Owner, as its authorized official.

NPPES Registry Identity

NPI1992257240
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameGATEWAY PSYCHOLOGICAL SERVICES, LLC
Location Address11300 4TH ST N, SUITE 115St Petersburg, FL 33716-2918
Mailing Address11300 4th St N, Suite 115St Petersburg, FL 33716-2918 · (727) 619-4477 · Fax (727) 258-2348
Fax(727) 258-2348
Organization SubpartNo
Authorized OfficialMichael MissoryOwner · (737) 619-4477
Enumeration DateNovember 2, 2016
✔ NPI 1992257240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY 8375
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11300 4TH ST N, St Petersburg, FL 33716

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Psychological 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 Psychological Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1437431509
11300 4TH ST N SUITE 115
St Petersburg, FL 33716
(727) 619-4477
✔ PECOSSame address

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 Psychological Services, LLC's NPI number?

The NPI number for Gateway Psychological Services, LLC is 1992257240. It was assigned to this organization in the NPPES registry on November 2, 2016.

Where is Gateway Psychological Services, LLC located?

Gateway Psychological Services, LLC is located at 11300 4th St N Suite 115, St Petersburg, FL 33716. The listed phone number is (727) 619-4477.

What is Gateway Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gateway Psychological Services, LLC enrolled in Medicare?

Yes. Gateway Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Gateway Psychological 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 Psychological Services, LLC was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.