Active NPI
Alexandra Gutierrez, MA, CASAC-T
- Psychologist
- Hempstead, NY
National Provider Identifier
1447966601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 38250
- Practice address
- 344 Fulton Ave
Hempstead, NY 11550-3923 - Phone
- (516) 538-2613
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 38250 | NY | Primary |
Addresses
Primary practice location
344 Fulton Ave
Hempstead, NY 11550-3923
Mailing address
344 Fulton Ave
Hempstead, NY 11550-3923
Phone (516) 538-2613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6004868613230769906 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38250 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1447966601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 FULTON AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503923",
"telephone_number": "516-538-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 FULTON AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503923",
"telephone_number": "516-538-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ALEXANDRA",
"credential": "MA, CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "38250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6004868613230769906",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.