Individual provider Active NPI

Robert Norman Portnoy, PHD

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1679628887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
291 Issued in NE
Practice address
1500 U Street
University Health Center
Lincoln, NE 68588-0618
Phone
(402) 472-7450
Fax
(402) 472-8010
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 291 NE Primary

Addresses

Primary practice location

1500 U Street
University Health Center
Lincoln, NE 68588-0618

Mailing address

PO Box 880618
Lincoln, NE 68588-0618
Phone (402) 472-7450

Other identifiers 1

IdentifierTypeStateIssuer
10025123700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20041020001098 NE Practitioner - Clinical Psychologist 8022079367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Nebraska College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morningstar Counseling and Consultation PCGroup PAC ID 8729365325, 5 clinicians

Practice addresses (Care Compare)

2641 S 70TH St
Suite a
Lincoln, NE 68506-2912
Phone (402) 327-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
291NEMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jun 1, 2016 Accepting new patients
Morningstar Counseling and Consultation PC CurrentSince Jul 13, 2020 Accepting new patients

Locations

1500 U St
Lincoln, NE 68588
Phone (402) 472-5000

1530 S 70th St
Ste 102
Lincoln, NE 68506
Phone (402) 327-9711

2641 S 70th St
Ste A
Lincoln, NE 68506
Phone (402) 327-9711

987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679628887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880618",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880618",
            "telephone_number": "402-472-7450",
            "fax_number": "402-472-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 U STREET",
            "address_2": "UNIVERSITY HEALTH CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880618",
            "telephone_number": "402-472-7450",
            "fax_number": "402-472-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "ROBERT",
        "middle_name": "NORMAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025123700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.