Portal Psychiatric Services, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PORTAL PSYCHIATRIC SERVICES, PLLC

Practice address

14138 S Fort Hood St
Killeen, TX 76542-4850

Phone

(254) 519-1144

Fax

(254) 519-1155

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Doyle, PMHNP

Title

Medical Director

Phone

(254) 519-1144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debbie Mabray, MS, LPC, LMFT, CART

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1831106640
  NPD
• Tabitha Sanders, LPC

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1851110142
  NPD
• Tammy M Baca, LCSW

  • Clinical Social Worker
  • Killeen, TX
  • NPI 1821650037
  NPD (past)

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1407611809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14138 S FORT HOOD ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424850",
            "telephone_number": "254-519-1144",
            "fax_number": "254-519-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14138 S FORT HOOD ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424850",
            "telephone_number": "254-519-1144",
            "fax_number": "254-519-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAL PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "254-519-1144",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENUMERATOR",
            "identifier": "1649953266",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Ann Polchinski, D.C.
• Donnalee Anne Pollack, NP-C
• Miah Pons
• Kierra D Poole
• Latara U Porch
• Alexandrea Porter
• Latoya Porter
• Stacy Post, RPH
• Shelby Posten, APRN-CNP
• Ann Potter

• Psychiatric/Mental Health Nurse Practitioner in Killeen, TX
• Providers in Killeen, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.