Shyneice Porter, PHD, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

4905 Del Ray Ave
Suite 301
Bethesda, MD 20814-2527

Phone

(301) 200-5690

NPI assigned

Apr 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1659725836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 37TH ST",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207122110",
            "telephone_number": "302-463-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE",
            "address_2": "SUITE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142527",
            "telephone_number": "301-200-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SHYNEICE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Porcel Tellez, PT
• Dorothy Porcello, OTR/L
• Forbes Dennison Porter, M.D.
• Jennifer P Porter, MD
• Paul S Porter Jr., MD
• Chia C Portera, M.D., PH.D.
• Joanne Marie Porwoll, NP
• Amanda Posegay, MS, CCC-SLP
• Stephen Aaron Poss
• Marissa Post

• Marriage & Family Therapist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.