Active NPI
Chadli Gutierrez, PSY,D
- Psychologist
- Las Piedras, PR
National Provider Identifier
1457170342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8738
- Practice address
- 16 Calle Jose C. Barbosa
Suite #3
Las Piedras, PR 00771 - Phone
- (904) 257-3065
- NPI assigned
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8738 | PR | Primary |
| Behavior Technician | 106S00000X | RBT-25-475553 | PR |
Addresses
Primary practice location
16 Calle Jose C. Barbosa
Suite #3
Las Piedras, PR 00771
Mailing address
PO Box 502
Trujillo Alto, PR 00977-0502
Other practice location 1
carr. 199, Monte Atenas Office Park
suite 206
San Juan, PR 00926
Phone (939) 355-0404
Other practice location 2
1855 Wells Road, Orange Park
Suite #1
Jacksonville, FL 32073
Phone (904) 257-3065
Other practice location 3
Condado Tower,1473 Av.Wilson
Suite 304
San Juan, PR 00907
Phone (787) 489-0088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-475553 | FL | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1457170342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 502",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009770502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CALLE JOSE C. BARBOSA",
"address_2": "SUITE #3",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "904-257-3065"
}
],
"practiceLocations": [
{
"address_1": "carr. 199, Monte Atenas Office Park",
"address_2": "suite 206",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00926",
"country_code": "US",
"telephone_number": "939-355-0404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1855 Wells Road, Orange Park",
"address_2": "Suite #1",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32073",
"country_code": "US",
"telephone_number": "904-257-3065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Condado Tower,1473 Av.Wilson",
"address_2": "Suite 304",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00907",
"country_code": "US",
"telephone_number": "787-489-0088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "CHADLI",
"credential": "PSY,D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-08",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "8738",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PR",
"license": "RBT-25-475553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.