Active NPI
Angel Guillermo Gutierrez Jr., MS ED, CAS, NCSP
- School Psychologist
- Castleton on Hudson, NY
National Provider Identifier
1649095290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2877844
- Practice address
- 1477 S Schodack Rd
Castleton on Hudson, NY 12033-9644 - Phone
- (518) 477-7103
- NPI assigned
- Nov 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2877844 | NY | Primary |
Addresses
Primary practice location
1477 S Schodack Rd
Castleton on Hudson, NY 12033-9644
Mailing address
1477 S Schodack Rd
Castleton on Hudson, NY 12033-9644
Phone (518) 477-7103
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2877844 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1649095290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 S SCHODACK RD",
"city": "CASTLETON ON HUDSON",
"state": "NY",
"postal_code": "120339644",
"telephone_number": "518-477-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 S SCHODACK RD",
"city": "CASTLETON ON HUDSON",
"state": "NY",
"postal_code": "120339644",
"telephone_number": "518-477-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ANGEL",
"middle_name": "GUILLERMO",
"name_suffix": "Jr.",
"credential": "MS ED, CAS, NCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "2877844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castleton on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.