Active NPI
Katherine Anne Porterfield, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1043357858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0141051
- Practice address
- 462 1St Ave
CD 710, Psot
New York, NY 10016-9196 - Phone
- (212) 994-7163
- Fax
- (212) 994-7177
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0141051 | NY | Primary |
Addresses
Primary practice location
462 1St Ave
CD 710, Psot
New York, NY 10016-9196
Mailing address
591 10TH St # 1
Brooklyn, NY 11215-4401
Phone (212) 994-7163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0141051 | NY | MD | Clinical Psychologist |
| 014105 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043357858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 10TH ST # 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154401",
"telephone_number": "212-994-7163",
"fax_number": "212-994-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "CD 710, PSOT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-994-7163",
"fax_number": "212-994-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTERFIELD",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0141051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.