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PORTUM PRIVATE PRACTICE LLC
NPI 1528802568
Psychologist - Clinical Child & Adolescent in Annandale, NJ

Active since June 24, 2024
1465 ROUTE 31 S, ANNANDALE, NJ 08801(732) 614-0994 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Portum Private Practice Llc NPPES

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

PORTUM PRIVATE PRACTICE LLC (NPI 1528802568) is a healthcare organization registered as a clinical child & adolescent in Annandale, New Jersey and active in the NPI registry since June 2024. The organization lists Jeffrey Decker, Coo, as its authorized official.

NPPES Registry Identity

NPI1528802568
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NamePORTUM PRIVATE PRACTICE LLC
Location Address1465 ROUTE 31 SAnnandale, NJ 08801-3129
Mailing Address1465 Route 31 SAnnandale, NJ 08801-3129
Phone(732) 614-0994
Organization SubpartNo
Authorized OfficialJeffrey DeckerCoo · (732) 614-0994
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1528802568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
1465 ROUTE 31 S, Annandale, NJ 08801
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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

Other Providers at the Same Location NPPES 8

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

STEVE & BETH INC.
Optometrist
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (908) 730-6774
BRIDGEWAY BEHAVIORAL HEALTH SERVICES
Case Management
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (908) 894-5311
NEYDA DEMARIE LMT, C-MLDT
Massage Therapist
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (908) 735-5001
DR. STEPHEN LEONARD SINOWAY O.D., J.D.
Optometrist
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (908) 730-6774
DR. LAUREN JIORLE ARCHIBLE DMD
Dentist (Endodontics)
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (908) 200-7951
EVOLUTION MOM LLC
Clinic/Center (Physical Therapy)
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (908) 797-1546
MS. JULIETTE D'AMBROSIO MS, LPC
Counselor (Professional)
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (551) 306-4000
RACHEL HALATIN OD
Optometrist
1465 ROUTE 31 S
ANNANDALE, NJ 08801
Hunterdon County (908) 730-6774

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 Portum Private Practice LLC's NPI number?

The NPI number for Portum Private Practice LLC is 1528802568. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Portum Private Practice LLC located?

Portum Private Practice LLC is located at 1465 Route 31 S, Annandale, NJ 08801. The listed phone number is (732) 614-0994.

What is Portum Private Practice LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Portum Private Practice LLC was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.