Portum Private Practice LLC
NPI 1255103388 · Adolescent and Children Mental Health Clinic/Center · Annandale, NJ
Portum Private Practice LLC is a Adolescent and Children Mental Health Clinic/Center organization in Annandale, NJ (NPI 1255103388).
Provider details
- NPI number
- 1255103388
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Decker, Chief Operating Officer(732) 614-0994
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Frequently asked questions
- What is Portum Private Practice LLC's NPI number?
- Portum Private Practice LLC's National Provider Identifier (NPI) is 1255103388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portum Private Practice LLC?
- Portum Private Practice LLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Portum Private Practice LLC located?
- Portum Private Practice LLC's practice location on file with NPPES is 1465 Route 31 S Ste 11011102, Annandale, NJ 08801-3129.
- What is Portum Private Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Portum Private Practice LLC is (732) 614-0994.
- Who is the authorized official for Portum Private Practice LLC?
- The authorized official listed on Portum Private Practice LLC's NPPES record is Jeffrey Decker, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portum Private Practice LLC's NPI active?
- Yes — Portum Private Practice LLC's NPI (1255103388) is active in the NPPES registry as of the last update on 2023-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.