Active NPIIndividual providerSole proprietor

Mrs. Gretchen N Casillas Canales, PSYM

Psychologist, Counseling in San Juan, Puerto Rico

NPI Number1316411721
Practice location
416 Ave Ponce De Leon Ste 1500, San Juan, PR 00918-3420
Fax
—
Last updated
October 8, 2025

Gretchen Nicole Casillas Canales is a Psychologist, Counseling based in San Juan, PR. Gretchen Nicole Casillas Canales practices in San Juan, PR and has the professional credentials of PSYM. The NPI Number for Gretchen Nicole Casillas Canales is 1316411721 and holds a License No. 6190 (PR). The current practice location address for Gretchen Nicole Casillas Canales is 416 Ave Ponce De Leon Ste 1500, San Juan, PR 00918-3420 and can be reached out via phone at 787-248-0486.

Provider Profile Details

NPI Number
1316411721
Provider Name
Gretchen Nicole Casillas Canales
Credential
PSYM
Provider Entity Type
Individual
Gender
Female
Address
416 Ave Ponce De Leon Ste 1500, San Juan, PR 00918-3420
Phone Number
787-248-0486
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2019
Last Update Date
October 8, 2025
Certification Date
October 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
416 Ave Ponce De Leon Ste 1500
San Juan, PR 00918-3420
Zip
00918-3420
Phone Number
787-248-0486
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
718 Calle Cipres
San Juan, PR 00924-5115
City
San Juan
State
PR
Zip
00924-5115
Phone Number
787-248-0486

License Information

License Number (1)
6190
License State (1)
PR
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
6190
License State (2)
PR
Taxonomy (2)
Psychologist, Counseling · 103TC1900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Gretchen N Casillas Canales, PSYM?

The NPI number of Mrs. Gretchen N Casillas Canales, PSYM is 1316411721. It was assigned on January 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Gretchen N Casillas Canales, PSYM?

Mrs. Gretchen N Casillas Canales, PSYM is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in PR under license number 6190.

Where does Mrs. Gretchen N Casillas Canales, PSYM practice?

The practice location is 416 Ave Ponce De Leon Ste 1500, San Juan, PR 00918-3420. The office can be reached at 787-248-0486 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316411721 directly on the NPPES registry website.

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