Active NPI
Julia M Gutierrez, PHD
- Clinical Psychologist
- McAllen, TX
National Provider Identifier
1184818940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 39588
- Practice address
- 2505 Buddy Owens Ave Ste D
McAllen, TX 78504-5427 - Phone
- (956) 660-0240
- NPI assigned
- Sep 4, 2007
- Last updated
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63102 | TX | |
| Clinical Psychologist | 103TC0700X | 39588 | TX | Primary |
Addresses
Primary practice location
2505 Buddy Owens Ave Ste D
McAllen, TX 78504-5427
Mailing address
2505 Buddy Owens Ave Ste D
McAllen, TX 78504-5427
Phone (956) 660-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39588 | TX | MD | Clinical Psychologist |
| 63102 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Rehabilitative Services ,Inc | Mental Health | Current | Accepting new patients |
| Maya Home Health Inc | Past | Accepting new patients |
Locations
2505 Buddy Owens Ave
Ste D
McAllen, TX 78504
Phone (956) 660-0240
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- McAllen, TX
- NPI 1144307125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1184818940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 BUDDY OWENS AVE STE D",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785045427",
"telephone_number": "956-660-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 BUDDY OWENS AVE STE D",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785045427",
"telephone_number": "956-660-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "JULIA",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "63102",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "39588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.