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DR. LETICIA GUTIERREZ-LOPEZ PSY.D.
NPI 1194864256
Psychologist - Clinical in Santa Fe Springs, CA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
11731 TELEGRAPH RD, BUILDING G, SANTA FE SPRINGS, CA 90670(626) 255-3955(562) 942-9789 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Leticia Gutierrez-lopez Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LETICIA GUTIERREZ-LOPEZ PSY.D. (NPI 1194864256) is an individual clinical provider in Santa Fe Springs, California, licensed in California (PSY17604) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194864256
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LETICIA GUTIERREZ-LOPEZCredential: PSY.D.
Location Address11731 TELEGRAPH RD, BUILDING GSanta Fe Springs, CA 90670-3675
Mailing Address11731 Telegraph Rd, Building GSanta Fe Springs, CA 90670-3675 · (626) 255-3955 · Fax (562) 942-9789
Phone(626) 255-3955
Fax(562) 942-9789
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194864256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY17604
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11731 TELEGRAPH RD, Santa Fe Springs, CA 90670
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leticia Gutierrez-lopez Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567830565
PECOS Enrollment IDI20221123000512
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Leticia Gutierrez-lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Wellness Partners
26 mi
Psychiatry
820 N MOUNTAIN AVE STE 215
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1972096295 (909) 920-3171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90670 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALIA DAUOD FULLINGIM M.S.
Counselor (Mental Health)
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (714) 724-6320
ATHZIRY VANESSA ESPINOSA
Marriage & Family Therapist
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455
ROSE MARIE GUERRERO LVN
Licensed Vocational Nurse
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 942-8256
NORMA LINARES
Case Manager/Care Coordinator
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 942-8256
MOLLY SUE SHIPTON
Licensed Psychiatric Technician
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (626) 861-4376
DONNA LOVE MSW
Counselor (Mental Health)
11731 TELEGRAPH RD, SUITE G
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455
MONICA ELENA MARTINEZ
Marriage & Family Therapist
11731 TELEGRAPH RD, PACIFIC CLINICIS
SANTA FE SPRINGS, CA 90670
Los Angeles County (626) 627-6073
JUSTIN PATRICK LINTELMAN MSW
Social Worker
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (626) 776-4716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leticia Gutierrez-lopez's NPI number?

The NPI number for Leticia Gutierrez-lopez is 1194864256. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Leticia Gutierrez-lopez located?

Leticia Gutierrez-lopez practices at 11731 Telegraph Rd Building G, Santa Fe Springs, CA 90670. The listed phone number is (626) 255-3955.

What is Leticia Gutierrez-lopez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Leticia Gutierrez-lopez enrolled in Medicare?

Yes. Leticia Gutierrez-lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leticia Gutierrez-lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Gutierrez-lopez reassigns Medicare benefits to Mental Wellness Partners (Upland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leticia Gutierrez-lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leticia Gutierrez-lopez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.