Dr Nicholas Porta, PSYD is a
Psychologist based in Johnson City, Tennessee. Dr Nicholas Porta is licensed to practice in Tennessee (license number P0000003473) and his current practice location is
2514 1/2 Wesley St Ste 2, Johnson City, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 529-0385.
NPI number for Dr Nicholas Porta is 1013387687 and his current mailing address is 2514 1/2 Wesley St Ste 2, Johnson City, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013387687.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Porta |
|---|
| Gender | Male |
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| Speciality | Psychologist |
|---|
| Location | 2514 1/2 Wesley St Ste 2, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013387687
- Provider Enumeration Date: 09/25/2015
- Last Update Date: 03/21/2018
Medical Identifiers
Medical identifiers for Dr Nicholas Porta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013387687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2015033025 (Missouri) | Secondary |
| 103T00000X | Psychologist | P0000003473 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Porta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicholas Porta, PSYD
2514 1/2 Wesley St Ste 2,
Johnson City, TN 37601-1754
Ph: (423) 529-0385 | Dr Nicholas Porta, PSYD
2514 1/2 Wesley St Ste 2,
Johnson City, TN 37601-1754
Ph: (423) 529-0385 |
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