Active NPI
Lance Portnoff, PH.D.
- Forensic Psychologist
- Visalia, CA
National Provider Identifier
1750831095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY7522
- Practice address
- 814 W Center Ave
Suite H
Visalia, CA 93291-6046 - Phone
- (805) 459-1961
- NPI assigned
- Oct 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY7522 | CA | Primary |
Addresses
Primary practice location
814 W Center Ave
Suite H
Visalia, CA 93291-6046
Mailing address
814 W Center Ave
Suite H
Visalia, CA 93291-6046
Phone (805) 459-1961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7522 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1750831095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 W CENTER AVE",
"address_2": "SUITE H",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916046",
"telephone_number": "805-459-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 W CENTER AVE",
"address_2": "SUITE H",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916046",
"telephone_number": "805-459-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNOFF",
"first_name": "LANCE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY7522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.