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

Q: 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.

Q: What is Perrine Portillo's specialty?

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

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Perrine Portillo was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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

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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

Phone(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

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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.

AUTHENTIC CONNECTIONS PSYCHOTHERAPY, INC.

Psychologist (Clinical)