Terry Porter, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49499 Issued in CA

Practice address

535 S 2ND Ave
Covina, CA 91723-3013

Phone

(626) 974-0770

NPI assigned

Mar 7, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Moreno Valley, CA
  • NPI 1427104116

  Marriage & Family Therapist

  NPD (past)
• Southern California Psychiatric Group, Inc

  • Child & Adolescent Psychiatry Physician
  • Sun City, CA
  • NPI 1285951871

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871623751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233013",
            "telephone_number": "626-974-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233013",
            "telephone_number": "626-974-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TERRY",
        "name_prefix": "Mr.",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Calvin Poole
• Joann Neu Poole, MACCCSP
• Piyanan Poolsawad
• Alyssa Monaye Porter
• Karina Porter
• Andrea Portillo, LMFT
• Christina Portillo, RN,PHN
• Joe Portillo
• Eli John Portugues
• Joseph Paul Posada

• Marriage & Family Therapist in Covina, CA
• Providers in Covina, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.