Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey Glenn Portnoy, PHD

Individual provider Clinical Neuropsychologist · NPI 1396481271

Dr. Jeffrey Glenn Portnoy, PHD is a Clinical Psychologist in New York, New York. Qualified in 2020, 6 years ago. Practices with Holy Name Primary Care and Specialty Associates PC, a 43-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2022
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

176 E 77th St
New York, NY 10075-1908
Phone: (212) 434-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 354 Old Hook Rd, Westwood, NJ 07675-3246 — (201) 358-0400

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 35SI00676600 (NJ)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 024975 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 35SI00676600 (NJ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 024975 (NY)

Record details

NPI number1396481271
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Holy Name Primary Care And Specialty Associates Pc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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