| Charles Elias Gutierrez,phd,llc | |
|
8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 | |
| (210) 354-1186 | |
| (210) 354-1187 |
| Full Name | Charles Elias Gutierrez,phd,llc |
|---|---|
| Speciality | Psychologist |
| Location | 8401 Datapoint Dr Ste 301, San Antonio, Texas |
| Authorized Official Name and Position | Charles E. Gutierrez (OWNER) |
| Authorized Official Contact | 2103657481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Elias Gutierrez,phd,llc 8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 Ph: (210) 354-1186 | Charles Elias Gutierrez,phd,llc 8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 Ph: (210) 354-1186 |
| NPI Number | 1750587499 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 1052596988 |
|---|---|
| Medicare Enrollment ID | O20110419000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750587499 | NPI | - | NPPES |
| 189691202 | Medicaid | TX | |
| 0093QA | Other | TX | BLUE CROSS BLUE SHIELD |
| 1049038 | Other | TX | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31016 (Texas) | Primary |
| Provider Name | Charles E Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760467963 PECOS PAC ID: 2668572157 Enrollment ID: I20070712000739 |
Accessing Individual Minds, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10223 Vernlyn Dr, San Antonio, TX 78230 Phone: 210-413-3855 | |
Westover Hills Behavioral Therapy Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Wiseman Blvd Ste 204, San Antonio, TX 78251 Phone: 210-521-1600 Fax: 210-521-1626 | |
Training Solutions And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Mabry, Suite 100, San Antonio, TX 78226 Phone: 210-922-1274 Fax: 210-932-9891 | |
Bailey Peyton Delaney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4499 Medical Dr Ste 122, San Antonio, TX 78229 Phone: 210-616-0665 Fax: 210-616-0932 | |
South Texas Neuropsychological Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231 Phone: 210-614-3011 Fax: 210-615-6906 | |
Hillary Marvin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Ivywood Dr, San Antonio, TX 78249 Phone: 281-467-4917 | |
Third Space Counseling And Consultation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 Pantheon Way Suite 245, San Antonio, TX 78232 Phone: 210-602-9499 |