VAN DAVID PORTLOCK NPI 1114153012

NPI Information

  • NPI: 1114153012
  • Provider Name: VAN DAVID PORTLOCK
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 730 EDDY ST
    ROOM 204
    SAN FRANCISCO, CA
    ZIP 94109
  • Phone: (415) 353-5655

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NPI Details

Van David Portlock is a counselor in San Francisco, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Van David Portlock NPI is 1114153012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

730 EDDY ST
ROOM 204
SAN FRANCISCO, CA
ZIP 94109-846
Phone: (415) 353-5655
Fax: (415) 673-1266

The enumeration date for this NPI number is 6/5/2009 and was last updated on 8/25/2022.

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
1171M00000XCase Manager/Care CoordinatorNo
2101Y00000XCounselorYes

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: 3/30/2025

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