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

Tim Richard Portinga, PSYDLP

Individual provider Clinical Psychologist · NPI 1609924216

Tim Richard Portinga, PSYDLP is a Clinical Psychologist in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

11505 36th Ave N
Plymouth, MN 55441-2304 Not confirmed with CMS for 19 years — call before visiting
Phone: (763) 509-3818
Fax: (763) 559-0149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4699 (MN)

Record details

NPI number1609924216
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYDLP
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

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