Matthew a Portadin, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9099 Issued in MA

Legal business name

MATTHEW A PORTADIN, PSY.D., LLC

Practice address

21 Cocasset St
Suite 3
Foxboro, MA 02035-2996

Phone

(856) 701-5586

Fax

(508) 203-4718

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Andrew Portadin, PSY.D.NPI 1477684991

Title

Clinical Psychologist

Phone

(856) 701-5586

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Andrew Portadin, PSY.D

  • Psychologist
  • Foxboro, MA
  • NPI 1477684991
  NPD (past) Authorized official

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1215480231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CHURCH ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482247",
            "telephone_number": "856-701-5586",
            "fax_number": "508-203-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COCASSET ST",
            "address_2": "SUITE 3",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352996",
            "telephone_number": "856-701-5586",
            "fax_number": "508-203-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A PORTADIN, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "PORTADIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-701-5586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jean Mansfield
• Andrew S. Margolin, PH.D.
• Maricle Counseling
• Amy Johnson Maricle, LMHC, ATR-BC
• Donald Charles Markum, MSW - LICSW
• Lisa G Matthews, M.D.
• Gregory Mayette
• Jennifer McBride, DPT
• Amy McClernan, RT, MR
• Jayme Lynn McDonagh, MSW

• Clinical Psychologist in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.