Individual provider Active NPI

David Porrino, PSY.D.

  • Clinical Neuropsychologist
  • Darien, CT
National Provider Identifier
1043569288
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3873 Issued in CT
Practice address
85 Old Kings Hwy N FL 2
Darien, CT 06820-4732
Phone
(203) 202-7654
NPI assigned
Sep 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3873 CT Primary

Addresses

Primary practice location

85 Old Kings Hwy N FL 2
Darien, CT 06820-4732

Mailing address

85 Old Kings Hwy N FL 2
Darien, CT 06820-4732
Phone (203) 202-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3873CTMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Hands Pediatric Therapy Services, LLC PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1043569288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD KINGS HWY N FL 2",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204732",
            "telephone_number": "203-202-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD KINGS HWY N FL 2",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204732",
            "telephone_number": "203-202-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRINO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-04",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "3873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.