Individual provider Active NPI

Beth Marlene Porten, PHD

  • Psychologist
  • Langhorne, PA
National Provider Identifier
1912062563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007401L Issued in PA
Practice address
1703 Langhorne Newtown Rd
Suite #2
Langhorne, PA 19047-1082
Phone
(215) 860-4420
Fax
(215) 481-0263
NPI assigned
Dec 26, 2006
Sex
Female
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 PS007401L PA Primary

Addresses

Primary practice location

1703 Langhorne Newtown Rd
Suite #2
Langhorne, PA 19047-1082

Mailing address

1923 Canterbury Rd
Abington, PA 19001-4503
Phone (215) 481-0264

Other identifiers 2

IdentifierTypeStateIssuer
7365112OtherPAAETNA HEALTH PLAN
0733941000OtherPAMAGELLAN BEHAVIORAL HEALT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041130000430 PA Practitioner - Clinical Psychologist 3476518762 Practice locations: Langhorne, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1703 Langhorne Newtown Rd
Suite 2
Langhorne, PA 19047-1082
Phone (215) 860-4420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS007401LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912062563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 CANTERBURY RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014503",
            "telephone_number": "215-481-0264",
            "fax_number": "215-481-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE #2",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471082",
            "telephone_number": "215-860-4420",
            "fax_number": "215-481-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEN",
        "first_name": "BETH",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007401L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "7365112",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "0733941000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.