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Active NPI 1922830223 Individual Practitioner Male Practitioner

Ezequiel Cruz Gutierrez , MS, MA, LP

Psychologist • Wheaton, IL

Professional Overview & Biography Verified Profile Summary

Ezequiel Cruz Gutierrez, MS, MA, LP is a registered healthcare professional specializing in Psychologist in Wheaton, IL. Practice services are available at 130 W LIBERTY DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 W Liberty Dr Ste 200

Wheaton, IL 601875138

Telephone 6302779579
Associated Practice Facility / Clinic
🏢 Organizational Behavior Llc Facility NPI 1760332399

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Wheaton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
37 Specialists

Practicing in Wheaton, IL (1075 Statewide)

Telehealth Adoption Rate
8.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-15
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License PR 7146

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2024

Registered at 130 W LIBERTY DR STE 200, WHEATON, IL 601875138 (Tel: 6302779579)

📍
Updated Business Mailing Address August 15, 2024

Registered at 1335 COLLEGE AVE, WHEATON, IL 601875867 (Tel: 7872265412)

👤
Provider Name / Credentials Updated August 15, 2024

Recorded as EZEQUIEL CRUZ GUTIERREZ, MS, MA, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2024

Psychologist (License #7146 in PR)

🟢
Initial NPI Registration & Enumeration August 15, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922830223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2024
Last Update: August 15, 2024
Sole Proprietor: Yes

Mailing Address

1335 College Ave

Wheaton, IL 601875867

Phone: 7872265412

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.