Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Gretchen Nicole Casillas Canales, PSYM

Individual provider Psychologist · NPI 1316411721

Mrs. Gretchen Nicole Casillas Canales, PSYM is a Clinical Psychologist in San Juan, Puerto Rico. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Puerto Rico.

Years since qualifying
9
Licensed in
PR
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

416 Ave Ponce De Leon Ste 1500
San Juan, PR 00918-3420
Phone: (787) 248-0486

No coordinates on file. Search this address in Google Maps

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6190 (PR)
Psychologist Taxonomy 103T00000X · Licence 6190 (PR)

Record details

NPI number1316411721
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYM
Sole proprietorYes
NPI enumeratedJanuary 18, 2019
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

Other providers in San Juan