Amelle Joseph Baptiste Porter, PMHNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

95013219 Issued in CA

Practice address

3828 Delmas Ter
Culver City, CA 90232-2713

Phone

(323) 404-7410

NPI assigned

Nov 13, 2019

Last updated

Nov 27, 2023By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Executive Mental Health, IncGroup PAC ID 0345209102, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95.63

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Executive Mental Health, Inc.

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1275670036
  Medicare reassignment Care Compare group
• Brian Wu MD PHD Inc

  • Psychiatry Physician
  • San Gabriel, CA
  • NPI 1528639481

  Single Specialty

  Medicare reassignment NPD
• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  Single Specialty

  Medicare reassignment NPD
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009

  Single Specialty

  Medicare reassignment NPD
• Pantea Farhadi MD a Medical Corporation

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1689943946

  Single Specialty

  Medicare reassignment NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747

  Single Specialty

  NPD
• Neuropsychology Consultants, Inc

  • Clinical Neuropsychologist
  • Los Angeles, CA
  • NPI 1841405305

  Single Specialty

  NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1952946956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 SUNLIGHT PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165124",
            "telephone_number": "323-404-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TER",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322713",
            "telephone_number": "323-404-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH BAPTISTE PORTER",
        "first_name": "AMELLE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "95013219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "5330 Sunlight Pl",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900165124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop/desktop",
            "affiliation": "Y",
            "affiliationName": "Southern California Healthcare System, Inc",
            "address_1": "3828 Delmas Ter",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902322713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenny Joo
• De Andre Jordan
• Phillip Jorge, M.D.
• Esparancita Jose
• Liliana Joselillo
• Joseph L. McQuirter, D.D.S., Inc
• Cory Joseph
• Miona Claire Joseph
• Samantha Joseph
• Christine Josephs

• Psychiatry Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.