Charles Elias Gutierrez PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHARLES ELIAS GUTIERREZ PHD LLC

Practice address

8401 Datapoint Dr Ste 301
San Antonio, TX 78229-5904

Phone

(210) 354-1186

NPI assigned

Jan 26, 2024

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles E Gutierrez, PHDNPI 1760467963

Title

PHD

Phone

(210) 354-1186

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles E Gutierrez, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1760467963
  NPD Authorized official
• Manuel Robert Cordero, M.ED.,LPC-S

  • Professional Counselor
  • San Antonio, TX
  • NPI 1013903012
  NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1093577850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295904",
            "telephone_number": "210-354-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295904",
            "telephone_number": "210-354-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ELIAS GUTIERREZ PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "210-354-1186",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Chapyak, MS, OTR/L
• Sokratis Michael Charisis, MD
• Charlene L. Haynes
• Charles a. Holshouser Jr, M.D. P.a.
• Charles E. Baldwin MD
• Charles Elias Gutierrez,PHD,LLC
• Charles H Sargent, MD PA
• Charles H. Sargent, M.D., P.a.
• Charles J. Burch, M.D., P.a.
• Charles Jeffreys,MD PA

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.