{"npi":"1992913412","type":"NPI-1","status":"active","name":{"display":"Mary Lou Gutierrez MD","other":[],"first":"MARY LOU","last":"GUTIERREZ","credential":"MD"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"WA","license":"MD.MD.70038835"},{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"CO","license":"DR.0072520"},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":"WA","license":"MD.MD.70038835"},{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"IL","license":"036107891"},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":"CO","license":"DR.0072520"},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"IL","license":"036107891"}]},"addresses":[{"purpose":"LOCATION","street_1":"109 W 27TH ST RM 5S","city":"NEW YORK","state":"NY","postal_code":"100016208","country_code":"US","phone":"9176345311","fax":"8888153583"},{"purpose":"MAILING","street_1":"109 W 27TH ST RM 5S","city":"NEW YORK","state":"NY","postal_code":"100016208","country_code":"US","phone":"9176345311","fax":"8888153583"}],"license":{"state":"IL","number":"036107891"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036107891","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040427001508","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"IL","pac_id":"7113914649"},{"enrlmt_id":"I20240315001500","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"CO","pac_id":"7113914649"}]},"enumeration_date":"2007-05-18","last_updated":"2025-10-22","_meta":{"source":"NPPES","snapshot_date":"2025-10-22","doc_url":"https://findmynpi.com/api"}}