Graziella Portalatin-Chavez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA10164800 Issued in NJ

Practice address

270 Highway 35
Red Bank, NJ 07701-5920

Phone

(732) 842-2000

Fax

(732) 224-0688

NPI assigned

Sep 8, 2008

Last updated

Jul 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Puerto Rico School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CPC Integrated Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bank, NJ
  • NPI 1366497356
  Medicare reassignment Care Compare group NPD
• CPC Behavioral Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matawan, NJ
  • NPI 1912036120
  NPD

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1720236326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINE TREE TER",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332786",
            "telephone_number": "787-645-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HIGHWAY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015920",
            "telephone_number": "732-842-2000",
            "fax_number": "732-224-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALATIN-CHAVEZ",
        "first_name": "GRAZIELLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10164800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMP Associates, Inc. (Crestview Pharmacy)
• Indira Pokharel, APN
• Adriana Pomales- Gangel, LCSW
• Daniel Joseph Pontone, DPM
• Eryn Porcelli
• Amisha Porwal
• Powerful Women's Health LLC
• Jessica Powers, APN
• Precision Eyecare of NJ LLC
• Meredith Price, PTA

• Psychiatry Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.