Individual provider Active NPI

Giselle Elizabeth Gutierrez, PSY.D.

  • Clinical Psychologist
  • South Miami, FL
National Provider Identifier
1184095945
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 9413 Issued in FL
Practice address
7800 SW 57TH Ave
Ste 224
South Miami, FL 33143-5528
Phone
(305) 668-6018
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 9413 FL Primary

Addresses

Primary practice location

7800 SW 57TH Ave
Ste 224
South Miami, FL 33143-5528

Mailing address

7800 SW 57TH Ave
Ste 224
South Miami, FL 33143-5528
Phone (305) 668-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160405001510 FL Practitioner - Clinical Psychologist 3274830351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andres Cartaya Psy.D., P.a.Group PAC ID 5597006403, 6 clinicians

Practice addresses (Care Compare)

10691 N Kendall Dr
Suite 105
Miami, FL 33176-1596
Phone (305) 699-6018

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 9413FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Andres Cartaya, Psy.D., P.a. CurrentSince Dec 29, 2018 Accepting new patients

Locations

10691 SW 88th St
Ste 105
Miami, FL 33176
Phone (305) 668-6018

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1184095945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE",
            "address_2": "STE 224",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "305-668-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE",
            "address_2": "STE 224",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "305-668-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GISELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.