Active NPI
Amelia G Porter, PSYD
- Psychologist
- Fort Bliss, TX
National Provider Identifier
1104592112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-005849
- Practice address
- 11250 SSG Sims St
Fort Bliss, TX 79918 - Phone
- (845) 240-0049
- NPI assigned
- Aug 19, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-005849 | AZ | Primary |
Addresses
Primary practice location
11250 SSG Sims St
Fort Bliss, TX 79918
Mailing address
11335 SSG Sims St
El Paso, TX 79918-8033
Phone (915) 742-3799
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005849 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1104592112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11335 SSG SIMS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799188033",
"telephone_number": "915-742-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11250 SSG SIMS ST",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "79918",
"telephone_number": "845-240-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "AMELIA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.