SUSAN PORTILLO NPI 1104755727

NPI Information

  • NPI: 1104755727
  • Provider Name: SUSAN PORTILLO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3200 TOWNSHIP LINE RD APT 107E
    DREXEL HILL, PA
    ZIP 19026
  • Phone: (845) 653-2664

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NPI Details

Susan Portillo is a mental health counselor in Drexel Hill, PA. Susan Portillo NPI is 1104755727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 TOWNSHIP LINE RD APT 107E
DREXEL HILL, PA
ZIP 19026-937
Phone: (845) 653-2664

The enumeration date for this NPI number is 5/18/2026 and was last updated on 5/18/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthPC017667PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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