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DR. CECILY PORTILLO PH.D.
NPI 1972868586
Psychologist - Clinical in New Hyde Park, NY

Active since July 10, 2012PECOS Enrolled
2001 MARCUS AVE STE E128, NEW HYDE PARK, NY 11042(516) 390-3525 Get Directions Write a Review

NPPES record last updated: October 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2021, Nov 25, 2020, Oct 20, 2020 (3 updates tracked since 2020).

About Dr. Cecily Portillo Ph.d. NPPES

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

DR. CECILY PORTILLO PH.D. (NPI 1972868586) is an individual clinical provider in New Hyde Park, New York, licensed in New York (P106133) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972868586
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CECILY PORTILLOCredential: PH.D.
Location Address2001 MARCUS AVE STE E128New Hyde Park, NY 11042-1000
Mailing Address622 West 168th StreetNew York, NY 10032-3748 · (212) 305-9099
Phone(516) 390-3525
Sole ProprietorYes
Enumeration DateJuly 10, 2012
Last NPPES UpdateOctober 3, 20213 updates tracked since enumeration
NPPES CertifiedOctober 3, 2021
✔ NPI 1972868586 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 · P106133
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.
2001 MARCUS AVE STE E128, New Hyde Park, NY 11042
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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. Cecily 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 11042 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 10

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

TALIA CLEMENTS PSYD
Psychologist
2001 MARCUS AVE STE E128
NEW HYDE PARK, NY 11042
Nassau County (201) 655-4529
MARY ATALA PSY.D.
Psychologist (Clinical)
2001 MARCUS AVE STE E128
NEW HYDE PARK, NY 11042
Nassau County (516) 390-3525
DR. KELLY MEYERING PSYD
Psychologist (Clinical)
2001 MARCUS AVE STE E128
NEW HYDE PARK, NY 11042
Nassau County (203) 536-2616
JACQUELINE NICOLE FRETWELL
Psychologist (Clinical)
2001 MARCUS AVE STE E128
NEW HYDE PARK, NY 11042
Nassau County (516) 336-9808
ANNA WILGA LMHC
Counselor (Mental Health)
2001 MARCUS AVE STE E128
LAKE SUCCESS, NY 11042
Nassau County (516) 390-3525
LOEY BROMBERG
Psychologist (Clinical)
2001 MARCUS AVE STE E128
NEW HYDE PARK, NY 11042
Nassau County (516) 390-3525
SYLVIA RYSZEWSKA PHD
Psychologist (Clinical)
2001 MARCUS AVE STE E128
NORTH NEW HYDE PARK, NY 11042
Nassau County (352) 551-6390
SHANNON MAE WALSH PSYD
Psychologist (Cognitive & Behavioral)
2001 MARCUS AVE STE E128
NEW HYDE PARK, NY 11042
Nassau County (516) 390-3525

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 Cecily Portillo's NPI number?

The NPI number for Cecily Portillo is 1972868586. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Cecily Portillo located?

Cecily Portillo practices at 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042. The listed phone number is (516) 390-3525.

What is Cecily Portillo's specialty?

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

Is Cecily Portillo enrolled in Medicare?

Yes. Cecily Portillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cecily Portillo was last updated on October 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.