David M Portner, PH.D. PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001188 Issued in VA

Legal business name

DAVID M PORTNER, PH.D. PLC

Practice address

1428 Water Mill Cir
Virginia Beach, VA 23454-1359

Phone

(757) 642-2567

Fax

(757) 233-0201

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Portner, PH.D.NPI 1063510238

Title

Owner

Phone

(757) 642-2567

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Michael Portner, PH.D

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1063510238
  NPD Authorized official

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1699215970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 WATER MILL CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541359",
            "telephone_number": "757-642-2567",
            "fax_number": "757-233-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 WATER MILL CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541359",
            "telephone_number": "757-642-2567",
            "fax_number": "757-233-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M PORTNER, PH.D. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "PORTNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-642-2567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Daugherty, MA, CF-SLP
• Arshima Davenport
• Joshua G Davenport, PA-C
• David L. Jones, DDS & Assoc., PC
• David L. Jones, DDS & Associates, PC
• David R Cox, P.a.
• David R. Farmer OD PC
• David R. Groy, DMD, PLLC
• David S Haden MD PC
• David Throckmorton Jr.

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.