DR. CECILY PORTILLO


Address: 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000
Phone: 5163903525

DR. CECILY PORTILLO (NPI# 1972868586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972868586
Entity Type Individual
Full Name DR. CECILY PORTILLO
Credential PH.D.
Practice Address 2001 Marcus Ave Ste E128
New Hyde Park
NY 11042-1000
Practice Telephone 5163903525
Mailing Telephone 5163903525
Enumeration Date 2012-07-10
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
P106133 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
215 Clark St, Brentwood, NY 117173301 6312456692

Office Location

Street Address 2001 MARCUS AVE STE E128
City NEW HYDE PARK
State NY
Zip Code 11042-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225639156 Kelly Meyering Psychologist 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 2020-11-06
1093293821 Olga Jablonka Psychologist 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 2018-08-03
1518481043 Michal Barnea Psychologist 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042 2017-07-26
1295182251 Laura Pantaleo Psychologist 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 2016-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649871260 Advanced Cardiovascular Diagnostics, Pllc Internal Medicine 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 2020-11-02
1568093771 Global Slp Ot Pt & Psychological Services, Pllc Physical Therapist 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 2020-01-28
1730745761 Miriam Korbman Psychologist 2001 Marcus Ave Suite E128, Lake Success, NY 11042 2019-05-15
1306402409 Swachi Jain Student in an Organized Health Care Education/Training Program Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 2019-05-14
1215407432 Samara Carly Badash Physical Therapist Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 2018-11-30
1720578578 Nidhi Kataria Student in an Organized Health Care Education/Training Program Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 2018-05-17
1558870162 Rosemary Elizabeth Fine Nurse Practitioner 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 2017-09-26
1255861159 Nicole Renee Cohen Speech-Language Pathologist 1893 Marcus Ave, C118, New Hyde Park, NY 11042 2017-06-14
1366807943 Molly Rubinoff Nurse Practitioner 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 2015-12-23
1255701959 Prohealth Dental Pllc Dentist 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 2015-10-07
Find all providers in zip 11042

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003038209 Aaron David Drucker Psychologist 1981 Marcus Ave Ste C119, New Hyde Park, NY 11042-1038 2007-05-03
1982822003 Michael Anthony O'loughlin Psychologist 15 Laurel Dr, New Hyde Park, NY 11040-2148 2007-04-23
1831253954 Bernice Mednick Reinharth Psychologist Select Physicians PC, 410 Lakeville Rd., New Hyde Park, NY 11041-0001 2006-12-21
1629138896 Faye Ruth Margolis Psychologist 7710 Hewlett Street, New Hyde Park, NY 11040-1461 2006-12-11
1629082896 Anuja Gupta Psychologist 23 Dunhill Rd, New Hyde Park, NY 11040-2248 2006-07-27
1497750202 George H Northrup Psychologist 7710 Hewlett St, New Hyde Park, NY 11040-1461 2005-06-17
1225639156 Kelly Meyering Psychologist 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 2020-11-06
1477071397 Elizabeth Moses Psychologist 2001 Marcus Ave, New Hyde Park, NY 11042-2061 2017-08-30
1295182251 Laura Pantaleo Psychologist 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 2016-05-19
1861801946 Bella Grossman Psychologist 27005 76th Ave, New Hyde Park, NY 11040-1402 2014-08-04
Find all providers in NEW HYDE PARK

Competitor

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City NEW HYDE PARK
Zip Code 11042

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Dataset Information

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.

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