DR. AMANDA L GUTIERREZ PSY.D
NPI 1255586095
Psychologist - Clinical in San Diego, CA

Q: What is Amanda Gutierrez's NPI number?

The NPI number for Amanda Gutierrez is 1255586095. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Q: What is Amanda Gutierrez's specialty?

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

Q: Is Amanda Gutierrez enrolled in Medicare?

No. Amanda Gutierrez has opted out of Medicare through February 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Gutierrez was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 20, 2008Opted out of Medicare · through Feb 24, 2028

9666 BUSINESSPARK AVE STE 105, SAN DIEGO, CA 92131(619) 602-0726 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Amanda L Gutierrez Psy.d NPPES

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

DR. AMANDA L GUTIERREZ PSY.D (NPI 1255586095) is an individual clinical provider in San Diego, California, licensed in California (PSY23873) and active in the NPI registry since November 2008. She has opted out of Medicare through February 24, 2028.

NPPES Registry Identity

NPI1255586095

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AMANDA L GUTIERREZCredential: PSY.D

Location Address9666 BUSINESSPARK AVE STE 105San Diego, CA 92131-1646

Mailing Address9666 Businesspark Ave Ste 105San Diego, CA 92131-1646 · (858) 695-8073

Phone(619) 602-0726

Sole ProprietorNo

Enumeration DateNovember 20, 2008

Last NPPES UpdateJune 10, 2019

✔ NPI 1255586095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY23873

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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY23873 (CA)

9666 BUSINESSPARK AVE STE 105, San Diego, CA 92131

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Amanda L Gutierrez Psy.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 24, 2026 through February 24, 2028.

Opt-Out Effective DateFebruary 24, 2026

Opt-Out In Effect ThroughFebruary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

DR. MILTON BROWN PH.D

Psychologist (Cognitive & Behavioral)

9666 BUSINESSPARK AVE STE 105
SAN DIEGO, CA 92131

San Diego County (619) 602-0726

DR. CARA LYNN DOCHAT PHD

Psychologist (Clinical)

9666 BUSINESSPARK AVE STE 105
SAN DIEGO, CA 92131

San Diego County (619) 602-0726

DIALECTICAL BEHAVIORAL THERAPY CENTER OF SAN DIEGO

Clinic/Center

9666 BUSINESSPARK AVE STE 105
SAN DIEGO, CA 92131

San Diego County (619) 602-0726

SHANNON DONELAN

Social Worker (Clinical)

9666 BUSINESSPARK AVE STE 105
SAN DIEGO, CA 92131

San Diego County (619) 602-0726

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 Amanda Gutierrez's NPI number?

The NPI number for Amanda Gutierrez is 1255586095. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Amanda Gutierrez located?

Amanda Gutierrez practices at 9666 Businesspark Ave Ste 105, San Diego, CA 92131. The listed phone number is (619) 602-0726.

What is Amanda Gutierrez's specialty?

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

Is Amanda Gutierrez enrolled in Medicare?

No. Amanda Gutierrez has opted out of Medicare through February 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Gutierrez was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.