DR. JOSE SALVADOR PORTOCARRERO (NPI# 1417254715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417254715 |
| Entity Type | Individual |
| Full Name | DR. JOSE SALVADOR PORTOCARRERO |
| Credential | PH.D. |
| Practice Address |
635 W 165th St 6th Floor New York NY 10032-3724 |
| Mailing Address |
435 E 70th St 12l New York NY 10021-5342 |
| Practice Telephone | 2123056426 |
| Mailing Telephone | 6077706314 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
018852 | NY | Behavioral Health & Social Service Providers |
| Street Address |
635 W 165TH ST 6TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305276 | Rainer N Mittl | Ophthalmology | 635 W 165th St, Suite 136, Box 37, New York, NY 10032-3724 | 2005-09-02 |
| 1902423536 | Tarun Sharma | Ophthalmology | 635 W 165th St, New York, NY 10032-3724 | 2020-06-30 |
| 1891317830 | Cindy Molina | Psychologist | 635 W 165th St, New York, NY 10032-3724 | 2020-05-13 |
| 1457843526 | Katelyn Selver | Psychologist | 635 W 165th St, New York, NY 10032-3724 | 2018-06-04 |
| 1427575943 | Carlos Gustavo Vasconcelos De Moraes | Ophthalmology | 635 W 165th St, New York, NY 10032 | 2017-08-25 |
| 1669907101 | Jenna Bass | Psychologist | 635 W 165th St, 6th Floor, Eye-6, New York, NY 10032-3724 | 2017-04-21 |
| 1619324555 | Daniel Oh | Ophthalmology | 635 W 165th St, New York, NY 10032-3724 | 2016-05-20 |
| 1386099695 | Jessica Alana Scott | Ophthalmology | 635 W 165th St, New York, NY 10032-3724 | 2016-04-25 |
| 1134573454 | Gabriel Rand | Ophthalmology | 635 W 165th St, New York, NY 10032-3724 | 2016-04-22 |
| 1770946949 | Sejal Patel | Ophthalmology | 635 W 165th St, New York, NY 10032-3724 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.