Organization Active NPI

Charles Elias Gutierrez,PHD,LLC

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1750587499
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31016 Issued in TX
Legal business name
CHARLES ELIAS GUTIERREZ,PHD,LLC
Practice address
5282 Medical Dr Ste 526
San Antonio, TX 78229-6118
Phone
(210) 354-1186
Fax
(210) 354-1187
NPI assigned
Jun 21, 2007
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Charles E Gutierrez, PHDNPI 1760467963
Title
Owner
Phone
(210) 354-1186

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 31016 TX Primary

Addresses

Primary practice location

5282 Medical Dr Ste 526
San Antonio, TX 78229-6118

Mailing address

5282 Medical Dr Ste 526
San Antonio, TX 78229-6118
Phone (210) 354-1186

Other identifiers 2

IdentifierTypeStateIssuer
0093QAOtherTXBLUE CROSS BLUE SHIELD
1049038OtherTXCIGNA

National Provider Directory

National Provider Directory

Locations

343 W Houston St
Ste 1010
San Antonio, TX 78205
Phone (210) 354-1186

8401 Datapoint Dr
Ste 301
San Antonio, TX 78229
Phone (210) 354-1186

Practitioners & affiliated clinicians

Practitioners 4

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1750587499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 526",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296118",
            "telephone_number": "210-354-1186",
            "fax_number": "210-354-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 526",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296118",
            "telephone_number": "210-354-1186",
            "fax_number": "210-354-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ELIAS GUTIERREZ,PHD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-354-1186",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0093QA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1049038",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.