Organization Active NPI

Casillas Psychological Services LLC

  • Counseling Psychologist
  • San Juan, PR
National Provider Identifier
1508625849
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
CASILLAS PSYCHOLOGICAL SERVICES LLC
Practice address
416 Ave Ponce de Leon Ste 1500
San Juan, PR 00918-3420
Phone
(787) 248-0486
NPI assigned
Mar 18, 2024
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Gretchen Nicole Casillas Canales, PSYCHOLOGISTNPI 1316411721
Title
Psychologist
Phone
(787) 248-0486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

416 Ave Ponce de Leon Ste 1500
San Juan, PR 00918-3420

Mailing address

718 Calle Cipres
San Juan, PR 00924-5115
Phone (787) 248-0486

Other names 2

  • Casillas Psychological Services LLC Former legal business name
  • CASILLAS PSYCHOLOGICAL SERVICES Other name

National Provider Directory

National Provider Directory

Locations

416 Ave Ponce de Leon
Ste 912
San Juan, PR 00918
Phone (787) 248-0486

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1508625849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CALLE CIPRES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009245115",
            "telephone_number": "787-248-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 AVE PONCE DE LEON STE 1500",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183420",
            "telephone_number": "787-248-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASILLAS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "CASILLAS CANALES",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-248-0486",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casillas Psychological Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casillas Psychological Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CASILLAS PSYCHOLOGICAL SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.