MRS. GRETCHEN NICOLE CASILLAS CANALES PSY.M.
NPI 1316411721
Psychologist - Counseling in San Juan, PR

Active since January 18, 2019
416 AVE PONCE DE LEON STE 1500, SAN JUAN, PR 00918(787) 248-0486 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2025, May 6, 2024, Aug 24, 2023 and 6 more (9 updates tracked since 2019).

About Mrs. Gretchen Nicole Casillas Canales Psy.m. NPPES

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

MRS. GRETCHEN NICOLE CASILLAS CANALES PSY.M. (NPI 1316411721) is an individual counseling provider in San Juan, Puerto Rico, licensed in Puerto Rico (6190) and active in the NPI registry since January 2019. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1316411721
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameMRS. GRETCHEN NICOLE CASILLAS CANALESCredential: PSY.M.
Location Address416 AVE PONCE DE LEON STE 1500San Juan, PR 00918-3420
Mailing Address718 Calle CipresSan Juan, PR 00924-5115 · (787) 248-0486
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 18, 2019
Last NPPES UpdateOctober 8, 20259 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1316411721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in PR · 6190
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedPsychologistTaxonomy 103T00000X · License 6190 (PR)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gretchen Nicole Casillas Canales Psy.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769996255
PECOS Enrollment IDI20250708001587

Other Providers at the Same Location NPPES 2

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

Massage Therapist
416 AVE PONCE DE LEON STE 1500
SAN JUAN, PR 00918
Psychologist (Counseling)
416 AVE PONCE DE LEON STE 1500
SAN JUAN, PR 00918

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 Gretchen Casillas Canales's NPI number?

The NPI number for Gretchen Casillas Canales is 1316411721. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Gretchen Casillas Canales located?

Gretchen Casillas Canales practices at 416 Ave Ponce De Leon Ste 1500, San Juan, PR 00918. The listed phone number is (787) 248-0486.

What is Gretchen Casillas Canales's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Gretchen Casillas Canales enrolled in Medicare?

Yes. Gretchen Casillas Canales is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gretchen Casillas Canales was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.