Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Portia Lucille Pieterse, PHD

Individual provider Clinical Psychologist · NPI 1194035030

Dr. Portia Lucille Pieterse, PHD is a Clinical Psychologist in Albany, New York. Qualified in 2009, 17 years ago. Practices with Albany Medical College, a 1,057-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2010
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

25 Hackett Blvd 2nd Fl
Albany, NY 12208-3462
Phone: (518) 262-5511
Fax: (518) 262-7035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 018848 (NY)

Record details

NPI number1194035030
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 13, 2010
Last updated in NPPESOctober 13, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Albany Medical College — 1057 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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