Mary Aminta Gutierrez, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC37575 Issued in CA

Practice address

1670 S Amphlett Blvd
Suite 115
San Mateo, CA 94402-2510

Phone

(650) 349-7969

Fax

(650) 349-1103

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073733903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BERENDA DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804115",
            "telephone_number": "650-588-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD",
            "address_2": "SUITE 115",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022510",
            "telephone_number": "650-349-7969",
            "fax_number": "650-349-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARY",
        "middle_name": "AMINTA",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Aylin Gutierrez Fuentes
• Marcos Adrian Gutierrez Soltero
• Aubra Gutierrez
• Gloria Gutierrez
• Gloria E Gutierrez
• Mercedes Gutierrez, MSW, ASW # 109251
• Pernille P Gutschick
• Jeffrey John Guttas, M.D.
• Sophie Guymon, BA
• Cyerra Columba Guzman

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.