Individual provider · Type 1 NPI
Kevin John Portal, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Norwich, CT
NPI number
1780510339
Active
Practice location
22 Case St
Norwich, CT 06360-2271
Mailing address
101 Bidwell St
Glastonbury, CT 06033-3004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 12.018278 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1780510339
Kevin John Portal, PMHNP-BC's National Provider Identifier is 1780510339, issued on Jun 22, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Norwich, CT. The record was last updated on Sep 2, 2026.