Individual
DR. JONATHAN PORTEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
14792
NY
103T00000X
Psychologist
PSY19635
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
14792
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY19635
CA
103TC0700X
Clinical Psychologist
14792
NY
103TC0700X
Clinical Psychologist
PSY19635
CA
103TC1900X
Counseling Psychologist
14792
NY
103TC1900X
Counseling Psychologist
PSY19635
CA
103TP2701X
Group Psychotherapy Psychologist
14792
NY
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY19635
CA
Other
Enumeration date
02/05/2007
Last updated
09/11/2025
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