JHEANETT ANGELES PORTOBANCO PSY35811
NPI 1215434543
Psychologist in San Jose, CA

Active since April 12, 2018PECOS Enrolled
6620 VIA DEL ORO, SAN JOSE, CA 95119(408) 660-3218 Get Directions Write a Review

NPPES record last updated: February 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2026, Apr 12, 2018 (2 updates tracked since 2018).

About Jheanett Angeles Portobanco Psy35811 NPPES

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

JHEANETT ANGELES PORTOBANCO PSY35811 (NPI 1215434543) is an individual psychologist in San Jose, California, licensed in California (PSY35811) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215434543
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJHEANETT ANGELES PORTOBANCOCredential: PSY35811
Location Address6620 VIA DEL OROSan Jose, CA 95119-1392
Mailing Address6620 Via Del OroSan Jose, CA 95119-1392 · (408) 660-3218
Sole ProprietorYes
Enumeration DateApril 12, 2018
Last NPPES UpdateFebruary 8, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2026
NPI 1215434543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY35811
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6620 VIA DEL ORO, San Jose, CA 95119

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jheanett Angeles Portobanco Psy35811 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
6620 VIA DEL ORO
SAN JOSE, CA 95119
Marriage & Family Therapist
6620 VIA DEL ORO
SAN JOSE, CA 95119
Social Worker (Clinical)
6620 VIA DEL ORO
SAN JOSE, CA 95119
Student in an Organized Health Care Education/Training Program
6620 VIA DEL ORO
SAN JOSE, CA 95119
Psychiatry & Neurology (Psychiatry)
6620 VIA DEL ORO
SAN JOSE, CA 95119
Social Worker (Clinical)
6620 VIA DEL ORO, #280
SAN JOSE, CA 95119
Marriage & Family Therapist
6620 VIA DEL ORO
SAN JOSE, CA 95119
Psychologist
6620 VIA DEL ORO
SAN JOSE, CA 95119

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 Jheanett Portobanco's NPI number?

The NPI number for Jheanett Portobanco is 1215434543. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Jheanett Portobanco located?

Jheanett Portobanco practices at 6620 Via Del Oro, San Jose, CA 95119. The listed phone number is (408) 660-3218.

What is Jheanett Portobanco's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jheanett Portobanco enrolled in Medicare?

Yes. Jheanett Portobanco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jheanett Portobanco was last updated on February 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.