Individual provider Active NPI

Dumayi Maria Gutierrez

  • Marriage & Family Therapist
  • Omaha, NE
National Provider Identifier
1710468756
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11812 Issued in NE
Practice address
444 Regency Parkway Dr Ste 104
Omaha, NE 68114
Phone
(402) 932-2296
Fax
(402) 281-0665
NPI assigned
Aug 28, 2018
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P12533 NY
Marriage & Family Therapist 106H00000X 11812 NE Primary

Addresses

Primary practice location

444 Regency Parkway Dr Ste 104
Omaha, NE 68114

Mailing address

444 Regency Parkway Dr Ste 104
Omaha, NE 68114-3779
Phone (402) 932-2296

Other practice location 1

936 Broadway Fl 2
New York, NY 10010-8104
Phone (212) 879-4900 ext. 311

Other practice location 2

936 Broadway Fl 2
New York, NY 10010-8104
Phone (212) 879-4900 ext. 311

Other practice location 3

311A West 50th Street
New York, NY 10019
Phone (917) 979-9383

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

State licenses

LicenseStateTypeSpecialty
P12533NYMDMarriage & Family Therapist
11812NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerman Institute for the Family Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1710468756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 REGENCY PARKWAY DR STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143779",
            "telephone_number": "402-932-2296",
            "fax_number": "402-281-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 REGENCY PARKWAY DR STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-932-2296",
            "fax_number": "402-281-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 Broadway Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108104",
            "country_code": "US",
            "telephone_number": "212-879-4900 x311",
            "fax_number": "212-744-0206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "936 Broadway Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108104",
            "country_code": "US",
            "telephone_number": "212-879-4900 x311",
            "fax_number": "212-744-0206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311A West 50th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10019",
            "country_code": "US",
            "telephone_number": "917-979-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DUMAYI",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P12533",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.