1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Psychologist
  6. NPI Profile

DR. JAZMIN ALEXANDRA REYES-PORTILLO PH.D.
NPI 1265892947
Psychologist - Clinical in New York, NY

Active since February 24, 2016PECOS Enrolled
1051 RIVERSIDE DR, UNIT 78, NEW YORK, NY 10032(646) 774-6098 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jazmin Alexandra Reyes-portillo Ph.d. NPPES

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

DR. JAZMIN ALEXANDRA REYES-PORTILLO PH.D. (NPI 1265892947) is an individual clinical provider in New York, New York, licensed in New York (020938-1) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265892947
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAZMIN ALEXANDRA REYES-PORTILLOCredential: PH.D.
Location Address1051 RIVERSIDE DR, UNIT 78New York, NY 10032-1007
Mailing Address450 51st StBrooklyn, NY 11220-1915 · (718) 757-4743
Phone(646) 774-6098
Sole ProprietorNo
Enumeration DateFebruary 24, 2016
✔ NPI 1265892947 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 · 020938-1
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.
1051 RIVERSIDE DR, New York, NY 10032
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jazmin Alexandra Reyes-portillo Ph.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

DR. CHERYL MARY CORCORAN M.D.
Psychiatry & Neurology (Psychiatry)
1051 RIVERSIDE DR, UNIT 55
NEW YORK, NY 10032
New York County (212) 543-6177
DR. EMILY BROMAN PHELPS MD
Psychiatry & Neurology (Psychiatry)
1051 RIVERSIDE DR
NEW YORK, NY 10032
New York County (212) 305-2862
ANDREW EDWARD SKODOL II M.D.
Psychiatry & Neurology (Psychiatry)
1051 RIVERSIDE DR, BOX 129
NEW YORK, NY 10032
New York County (212) 543-6247
MS. CARLA SADIK BLUMENTHAL LCSW
Social Worker (Clinical)
1051 RIVERSIDE DR
NEW YORK, NY 10032
New York County (212) 543-5919
ANDREW J. DWORK M.D.
Pathology (Neuropathology)
1051 RIVERSIDE DR, ROOM 2913
NEW YORK, NY 10032
New York County (646) 774-7552
CATHERINE MYONG MD
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR
NEW YORK, NY 10032
New York County (646) 774-5000
MAZDAK MOGHADDAM BRADBERRY MD, PHD
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR
NEW YORK, NY 10032
New York County (412) 759-6215
EDREANA SENATUS
Registered Nurse
1051 RIVERSIDE DR
NEW YORK, NY 10032
New York County (646) 774-5000

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 Jazmin Reyes-portillo's NPI number?

The NPI number for Jazmin Reyes-portillo is 1265892947. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Jazmin Reyes-portillo located?

Jazmin Reyes-portillo practices at 1051 Riverside Dr Unit 78, New York, NY 10032. The listed phone number is (646) 774-6098.

What is Jazmin Reyes-portillo's specialty?

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

Is Jazmin Reyes-portillo enrolled in Medicare?

Yes. Jazmin Reyes-portillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jazmin Reyes-portillo was last updated on February 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.