DR. JEFFREY GLENN PORTNOY PHD
NPI 1396481271
Clinical Neuropsychologist in New York, NY

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
176 E 77TH ST, NEW YORK, NY 10075(212) 434-6400 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 6, 2022, May 12, 2022 (3 updates tracked since 2022).

About Dr. Jeffrey Glenn Portnoy Phd NPPES

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

DR. JEFFREY GLENN PORTNOY PHD (NPI 1396481271) is an individual clinical neuropsychologist in New York, New York, licensed in New Jersey (35SI00676600) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Westwood, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396481271
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JEFFREY GLENN PORTNOYCredential: PHD
Location Address176 E 77TH STNew York, NY 10075-1908
Mailing Address3 University Plz Ste 205Hackensack, NJ 07601-6208 · (201) 833-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2022
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
NPI 1396481271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses Licensed in NJ · 35SI00676600 Licensed in NY · 024975
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 35SI00676600 (NJ), 024975 (NY)
176 E 77TH ST, New York, NY 10075

Secondary Practice Location 1

Location 1354 Old Hook RdWestwood, NJ 07675-3246 · Phone (201) 358-0400

Other Identifiers 1

Medicaid0859877NJ

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. Jeffrey Glenn Portnoy Phd 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 ID547646952
PECOS Enrollment IDI20221007000540
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
292 services60 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
203 services60 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
61 services61 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
60 services60 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
60 services60 patients

Other Providers at the Same Location NPPES 7

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

Clinical Neuropsychologist
176 E 77TH ST
NEW YORK, NY 10075
Psychiatry & Neurology (Neurology)
176 E 77TH ST
NEW YORK, NY 10075
General Practice
176 E 77TH ST, #15A
NEW YORK, NY 10075
Clinical Neuropsychologist
176 E 77TH ST
NEW YORK, NY 10075
Clinical Neuropsychologist
176 E 77TH ST
NEW YORK, NY 10075
Internal Medicine
176 E 77TH ST
NEW YORK, NY 10075
Social Worker
176 E 77TH ST, APT. 2H
NEW YORK, NY 10075

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 Jeffrey Portnoy's NPI number?

The NPI number for Jeffrey Portnoy is 1396481271. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Jeffrey Portnoy located?

Jeffrey Portnoy practices at 176 E 77th St, New York, NY 10075. The listed phone number is (212) 434-6400.

What is Jeffrey Portnoy's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeffrey Portnoy enrolled in Medicare?

Yes. Jeffrey Portnoy 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Portnoy was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.