DR. KARIN KERSTIN GUTIERREZ (NPI# 1376991315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376991315 |
| Entity Type | Individual |
| Full Name | DR. KARIN KERSTIN GUTIERREZ |
| Other Name | MS. KARIN KERSTIN THULE |
| Credential | PSYD |
| Practice Address |
1107 Johnson Avenue San Luis Obispo CA 93401 |
| Practice Telephone | 8057449470 |
| Practice Fax Number | 8667270774 |
| Mailing Telephone | 8057449470 |
| Mailing Fax Number | 8667270774 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY18269 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
1107 JOHNSON AVENUE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291007 | Kerianne Elizabeth Ditomasso | Psychologist | 1551 Bishop St Ste A-130, San Luis Obispo, CA 93401-4635 | 2020-07-01 |
| 1366949943 | Lisa Slover | Psychologist | 1530 Monterey St Ste A, San Luis Obispo, CA 93401-2969 | 2018-04-10 |
| 1225411614 | Stephen Theodore Bobey Jr. | Psychologist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-07-02 |
| 1760884670 | Robert Ryan | Psychologist | 1 Hwy 1, San Luis Obispo, CA 93409-8101 | 2014-09-23 |
| 1194135772 | Sarah Chisholm | Psychologist | California Mens Colony Highway 1 N, Dq Mental Health Building, San Luis Obispo, CA 93409-8101 | 2014-05-05 |
| 1699198689 | Cynthia Mccabe | Psychologist | California Mens Colony Mental Health, Hwy 1 North, Box 8101, San Luis Obispo, CA 93409-8101 | 2014-01-27 |
| 1164854139 | James Brian Fishback | Psychologist | 4421 Brookpine Dr, San Luis Obispo, CA 93401-7802 | 2013-08-01 |
| 1184967226 | Deserie R Barragan | Psychologist | D Facility Highway 1, Department of Corrections and Rehabilitation, San Luis Obispo, CA 93403 | 2013-03-27 |
| 1811234297 | Barbara Y Mair | Psychologist | Hwy 1 N, San Luis Obispo, CA 93409-0001 | 2013-01-06 |
| 1538411798 | Jayanta Hegde | Psychologist | 1530 Monterey St, Ste A, San Luis Obispo, CA 93401-2969 | 2012-10-11 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on DR. KARIN KERSTIN GUTIERREZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.