What is Tim Portinga's NPI number?

Tim Portinga's National Provider Identifier (NPI) is 1609924216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tim Portinga's specialty?

Tim Portinga is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Tim Portinga located?

Tim Portinga's practice location on file with NPPES is 11505 36th Ave N, Plymouth, MN 55441-2304.

What is Tim Portinga's phone number?

The practice phone number listed in the NPPES registry for Tim Portinga is (763) 509-3818.

Is Tim Portinga's NPI active?

Yes — Tim Portinga's NPI (1609924216) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Tim Portinga, PSYD LP

NPI 1609924216 · Clinical Psychologist · Plymouth, MN

Tim Portinga, PSYD LP is a Clinical Psychologist provider in Plymouth, MN (NPI 1609924216).

Provider details

NPI number: 1609924216
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PSYD LP
Sex: Male
Sole proprietor: No
License: LP4699 (MN)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense LP4699 (MN)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

11505 36th Ave N

Plymouth, MN 55441-2304

Phone: (763) 509-3818

Fax: (763) 559-0149

Street-level locationGet directions

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Mailing address