Authentic Connections Psychotherapy, Inc.
Organization Active NPI Clinical Psychologist · Truckee, CA
NPI 1255084745 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1255084745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- AUTHENTIC CONNECTIONS PSYCHOTHERAPY, INC.
- Practice address
- 10368 Donner Pass Rd
Truckee, CA 96161-0427 - Phone
- (530) 536-0663
- NPI assigned
- Feb 3, 2022
- Organization subpart
- No
Authorized official
- Name
- Perrine Portillo, PSY.D
- Title
- President
- Phone
- (530) 536-0663
Practitioners 1
-
Perrine Portillo, PSY.D
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
10368 Donner Pass Rd
Truckee, CA 96161-0427
Mailing address
11260 Donner Pass Rd. Ste C1
PMB 635
Truckee, CA 96161
Phone (530) 536-0663
Other providers in Truckee, CA
- Jaycee Armosino
- Christopher Arth
- Juen Marc Gianzon Arzadon
- Alexis Auckenthaler
- Brooks Austin
- Jennifer Emilia Avendano
- Rebecca Josephine Baiet
- Andrea S Bakas
- Faheem Baki
- Alida Balkin
All providers in Truckee, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.