Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Portum Private Practice LLC

Q: What type of organization is Portum Private Practice LLC?

Portum Private Practice LLC is registered in NPPES as a Clinical Child & Adolescent Psychologist (its primary provider taxonomy).

Clinical Child & Adolescent Psychologist in Annandale, NJ · enumerated 2024 · authorized official Jeffrey Decker, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528802568

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Registry record

Entity type Organization (Type 2)

Legal business name Portum Private Practice LLC

Practice address 1465 Route 31 S, Annandale, NJ, 08801

Phone (732) 614-0994

Enumeration date Jun 24, 2024

Last updated in NPPES Jun 24, 2024

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Primary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jeffrey Decker

Title Coo

Phone (732) 614-0994

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Portum Private Practice LLC?

Portum Private Practice LLC is registered in NPPES as a Clinical Child & Adolescent Psychologist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-24.