Prisma Rehabilitative Services ,Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PRISMA REHABILITATIVE SERVICES ,INC

Practice address

2505 Buddy Owens Ave Ste D
McAllen, TX 78504-5427

Phone

(956) 660-0240

Fax

(844) 273-2313

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Julia Mariana Gutierrez, LPNPI 1184818940

Title

Director

Phone

(956) 660-0240

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia M Gutierrez, PHD

  • Clinical Psychologist
  • McAllen, TX
  • NPI 1184818940

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1689811705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BUDDY OWENS AVE STE D",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045427",
            "telephone_number": "956-660-0240",
            "fax_number": "844-273-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 BUDDY OWENS AVE STE D",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045427",
            "telephone_number": "956-660-0240",
            "fax_number": "844-273-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA REHABILITATIVE SERVICES ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "MARIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-660-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63102",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in McAllen, TX
• Providers in McAllen, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.