Portum Private Practice LLC
NPI 1528802568 · Clinical Child & Adolescent Psychologist · Annandale, NJ
Portum Private Practice LLC is a Clinical Child & Adolescent Psychologist organization in Annandale, NJ (NPI 1528802568).
Provider details
- NPI number
- 1528802568
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Decker, Coo(732) 614-0994
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
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
- 2024-06-24
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Frequently asked questions
- What is Portum Private Practice LLC's NPI number?
- Portum Private Practice LLC's National Provider Identifier (NPI) is 1528802568, 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 Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Portum Private Practice LLC located?
- Portum Private Practice LLC's practice location on file with NPPES is 1465 Route 31 S, 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, Coo. 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 (1528802568) is active in the NPPES registry as of the last update on 2024-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.