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TIM RICHARD PORTINGA PSYD LP
NPI 1609924216
Psychologist - Clinical in Plymouth, MN

Active since January 08, 2007
11505 36TH AVE N, PLYMOUTH, MN 55441(763) 509-3818(763) 559-0149 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tim Richard Portinga Psyd Lp NPPES

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

TIM RICHARD PORTINGA PSYD LP (NPI 1609924216) is an individual clinical provider in Plymouth, Minnesota, licensed in Minnesota (LP4699) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1609924216
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTIM RICHARD PORTINGACredential: PSYD LP
Location Address11505 36TH AVE NPlymouth, MN 55441-2304
Mailing Address11505 36th Ave NPlymouth, MN 55441-2304 · (763) 509-3818 · Fax (763) 559-0149
Phone(763) 509-3818
Fax(763) 559-0149
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609924216 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 MN · LP4699
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.
11505 36TH AVE N, Plymouth, MN 55441
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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.

COURTNEY ELIZABETH WILKINS RN
Registered Nurse (Addiction (Substance Use Disorder))
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3968
JOHN KENNETH DELKE MA, LADC
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (877) 803-1520
ROBERT THOMAS STOKES
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3905
SAMANTHA WHITE
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (800) 257-7800
ABIGAIL WEBSTER
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3867
KRISTEEN JOANNE LAPLANT YOUNG LPCC, LADC
Counselor (Professional)
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3818
TIM HELMEKE
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3864
CYNTHIA DOTH
Counselor (Mental Health)
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3953

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 Tim Portinga's NPI number?

The NPI number for Tim Portinga is 1609924216. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Tim Portinga located?

Tim Portinga practices at 11505 36th Ave N, Plymouth, MN 55441. The listed phone number is (763) 509-3818.

What is Tim Portinga's specialty?

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

What insurance does Tim Portinga accept?

Health plans from Sanford Health Plan list Tim Portinga 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 Tim Portinga was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.