Glenda L Castro Gutierrez, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2735 Issued in PR

Practice address

982 Gutenberg
Jardines Metropolitanos
San Juan, PR 00927

Phone

(787) 220-1791

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334

  PR

  Medicare reassignment Care Compare group NPD
• Neomed Center, Inc

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  Care Compare group NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  Care Compare group NPD
• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • San Lorenzo, PR
  • NPI 1124222682
  Care Compare group
• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Aguas Buenas, PR
  • NPI 1316324072
  Care Compare group
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Juncos, PR
  • NPI 1336519644
  Care Compare group
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Aguas Buenas, PR
  • NPI 1427435189
  Care Compare group
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Trujillo Alto, PR
  • NPI 1801090923
  Care Compare group

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114059342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES DE SAN FRANCISCO",
            "address_2": "APT 602-2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-220-1791",
            "fax_number": "787-763-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 GUTENBERG",
            "address_2": "JARDINES METROPOLITANOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-220-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO GUTIERREZ",
        "first_name": "GLENDA",
        "middle_name": "L",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose F Castro Chandri, M.D.
• Miriam Haydee Castro Chandri, MD
• Gabriel Roberto Castro Colon
• Carmen Castro Encarnacion
• Gabriel J Castro Gueits
• Paola Castro Jimenez
• Kalicha Castro Jorge, AF
• Jorge Luis Castro Marrero, MD
• Coral Alexandra Castro Olmo
• Ariel Castro Santana

• All providers in San Juan, PR
• Clinical Psychologist in Puerto Rico

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.