PERRINE PORTILLO PSY.D
NPI 1023486958
Psychologist - Clinical in Truckee, CA

Active since September 09, 2015Opted out of Medicare · through Feb 23, 2027
10368 DONNER PASS RD, TRUCKEE, CA 96161(530) 536-0663 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2022, Feb 17, 2022 (2 updates tracked since 2022).

About Perrine Portillo Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERRINE PORTILLO PSY.D (NPI 1023486958) is an individual clinical provider in Truckee, California, licensed in California (PSY31525) and active in the NPI registry since September 2015. She has opted out of Medicare through February 23, 2027.

NPPES Registry Identity

NPI1023486958
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePERRINE PORTILLOCredential: PSY.D
Location Address10368 DONNER PASS RDTruckee, CA 96161-0427
Mailing Address11260 Donner Pass Rd. Ste C1, Pmb 635Truckee, CA 96161 · (530) 536-0663
Sole ProprietorNo
Enumeration DateSeptember 9, 2015
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
NPI 1023486958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY31525
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10368 DONNER PASS RD, Truckee, CA 96161

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Perrine Portillo Psy.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2021 through February 23, 2027.

Opt-Out Effective DateFebruary 23, 2021
Opt-Out In Effect ThroughFebruary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
10368 DONNER PASS RD
TRUCKEE, CA 96161
Nurse Practitioner (Psychiatric/Mental Health)
10368 DONNER PASS RD
TRUCKEE, CA 96161
Acupuncturist
10368 DONNER PASS RD
TRUCKEE, CA 96161
Marriage & Family Therapist
10368 DONNER PASS RD
TRUCKEE, CA 96161
Social Worker (Clinical)
10368 DONNER PASS RD
TRUCKEE, CA 96161
Family Medicine
10368 DONNER PASS RD
TRUCKEE, CA 96161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perrine Portillo's NPI number?

The NPI number for Perrine Portillo is 1023486958. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Perrine Portillo located?

Perrine Portillo practices at 10368 Donner Pass Rd, Truckee, CA 96161. The listed phone number is (530) 536-0663.

What is Perrine Portillo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Perrine Portillo enrolled in Medicare?

No. Perrine Portillo has opted out of Medicare through February 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Perrine Portillo was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.