Individual provider Active NPI

Chadli Gutierrez, PSY,D

  • Psychologist
  • Las Piedras, PR
National Provider Identifier
1457170342
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8738 Issued in PR
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RBT-25-475553FLMDAssistant 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

Verify at the official NPI Registry.