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Nicholas Porta, PSYD
NPI 1013387687 · on the registry since 2015
Practice
- Address
- 2514 1/2 Wesley St Ste 2
Johnson City, TN 37601 - Phone
- (423) 529-0385
- Fax
- (423) 414-2699
- Organisation at this address
- Papillon Behavioral Health, Llc
Comprehensive Community Services, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 101YP2500X
- Licence states on file
- MO, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee