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DR. LOURDES PORTALES DALE PHD
NPI 1952927600
Psychologist - Clinical Child & Adolescent in Jacksonville, FL

Active since June 18, 2020PECOS Enrolled
81.9/100
CMS Quality Rating
580 W 8TH ST FL TOWERII6, JACKSONVILLE, FL 32209(860) 305-2908 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lourdes Portales Dale Phd NPPES

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

DR. LOURDES PORTALES DALE PHD (NPI 1952927600) is an individual clinical child & adolescent provider in Jacksonville, Florida, licensed in Florida (10538) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952927600
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. LOURDES PORTALES DALECredential: PHD
Location Address580 W 8TH ST FL TOWERII6Jacksonville, FL 32209-6533
Mailing Address830-13 A1a North, #690Ponte Vedra Beach, FL 32082 · (860) 305-2908
Phone(860) 305-2908
Sole ProprietorNo
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1952927600 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
License✔ Licensed in FL · 10538
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 ListedPsychologistTaxonomy 103T00000X · License 002436 (CT)
580 W 8TH ST FL TOWERII6, Jacksonville, FL 32209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lourdes Portales Dale Phd 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.

Medicare Billing Reassignment

Medicare enrollment records show Lourdes Dale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians, Inc.
0.1 mi
Internal Medicine
653 W 8TH ST, UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 46 clinicians in this Medicare group
NPI 1144276452 (904) 244-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Lourdes Dale's NPI number?

The NPI number for Lourdes Dale is 1952927600. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Lourdes Dale located?

Lourdes Dale practices at 580 W 8th St Fl Towerii6, Jacksonville, FL 32209. The listed phone number is (860) 305-2908.

What is Lourdes Dale's specialty?

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

Is Lourdes Dale enrolled in Medicare?

Yes. Lourdes Dale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lourdes Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lourdes Dale reassigns Medicare benefits to University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lourdes Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lourdes Dale accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Lourdes Dale 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 Lourdes Dale was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.