Individual provider Active NPI

Katherine Betty Gutierrez Wray, PSY.D

  • Mental Health Counselor
  • Holyoke, MA
National Provider Identifier
1235223421
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NA
Practice address
235 Maple St
Holyoke, MA 01040-5123
Phone
(413) 532-0389
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NA Primary

Addresses

Primary practice location

235 Maple St
Holyoke, MA 01040-5123

Mailing address

19 Longfellow Dr
Longmeadow, MA 01106-2309
Phone (413) 262-0297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090130000603 MA Practitioner - Clinical Psychologist 9931263209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Network IncGroup PAC ID 3072596360, 146 clinicians

Practice addresses (Care Compare)

40 Bobala Rd
Holyoke, MA 01040-9632
Phone (413) 536-5473

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network Inc CurrentSince Oct 22, 2007 Accepting new patients
Behavioral Health Network, Inc CurrentSince Oct 22, 2007 Accepting new patients

Locations

235 Maple St
Holyoke, MA 01040
Phone (413) 532-0389

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1235223421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LONGFELLOW DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062309",
            "telephone_number": "413-262-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAPLE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405123",
            "telephone_number": "413-532-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ WRAY",
        "first_name": "KATHERINE",
        "middle_name": "BETTY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.