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VAN DAVID PORTLOCK
NPI 1114153012
Counselor in San Francisco, CA

Active since June 05, 2009
730 EDDY ST, ROOM 204, SAN FRANCISCO, CA 94109(415) 353-5655(415) 673-1266 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Van David Portlock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VAN DAVID PORTLOCK (NPI 1114153012) is an individual counselor in San Francisco, California and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1114153012
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameVAN DAVID PORTLOCK
Location Address730 EDDY ST, ROOM 204San Francisco, CA 94109-7846
Mailing Address730 Eddy St, Room 204San Francisco, CA 94109-7846 · (415) 353-5655 · Fax (415) 673-1266
Phone(415) 353-5655
Fax(415) 673-1266
Sole ProprietorYes
Enumeration DateJune 5, 2009
Last NPPES UpdateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1114153012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
730 EDDY ST, San Francisco, CA 94109
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Van Portlock's NPI number?

The NPI number for Van Portlock is 1114153012. It was assigned to this individual provider in the NPPES registry on June 5, 2009.

Where is Van Portlock located?

Van Portlock practices at 730 Eddy St Room 204, San Francisco, CA 94109. The listed phone number is (415) 353-5655.

What is Van Portlock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Van Portlock was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.