DR. PORTIA LUCILLE PIETERSE PH.D.
NPI 1194035030
Psychologist - Clinical in Albany, NY

Active since October 13, 2010PECOS EnrolledAccepts Medicare Assignment
25 HACKETT BLVD, 2ND FLOOR, ALBANY, NY 12208(518) 262-5511(518) 262-7035 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Portia Lucille Pieterse Ph.d. NPPES

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

DR. PORTIA LUCILLE PIETERSE PH.D. (NPI 1194035030) is an individual clinical provider in Albany, New York, licensed in New York (018848) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194035030
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PORTIA LUCILLE PIETERSECredential: PH.D.
Location Address25 HACKETT BLVD, 2ND FLOORAlbany, NY 12208-3462
Mailing Address25 Hackett Blvd, 2nd FloorAlbany, NY 12208-3462 · (518) 262-5511 · Fax (518) 262-7035
Fax(518) 262-7035
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 13, 2010
NPI 1194035030 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 NY · 018848
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.

25 HACKETT BLVD, Albany, NY 12208

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Portia Lucille Pieterse Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082893524
PECOS Enrollment IDI20110128000938
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Pediatrics)
25 HACKETT BLVD
ALBANY, NY 12208
General Practice
25 HACKETT BLVD
ALBANY, NY 12208
Psychologist
25 HACKETT BLVD
ALBANY, NY 12208
Internal Medicine (Nephrology)
25 HACKETT BLVD
ALBANY, NY 12208
Dietitian, Registered
25 HACKETT BLVD
ALBANY, NY 12208
Nurse Practitioner (Family)
25 HACKETT BLVD
ALBANY, NY 12208
Speech-Language Pathologist
25 HACKETT BLVD
ALBANY, NY 12208
Nurse Practitioner
25 HACKETT BLVD, MC-141
ALBANY, NY 12208

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 Portia Pieterse's NPI number?

The NPI number for Portia Pieterse is 1194035030. It was assigned to this individual provider in the NPPES registry on October 13, 2010.

Where is Portia Pieterse located?

Portia Pieterse practices at 25 Hackett Blvd 2nd Floor, Albany, NY 12208. The listed phone number is (518) 262-5511.

What is Portia Pieterse's specialty?

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

Is Portia Pieterse enrolled in Medicare?

Yes. Portia Pieterse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Portia Pieterse accept?

Health plans from Providence Health Plan list Portia Pieterse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portia Pieterse was last updated on October 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.