BRYAN B. PORT PSY.D.
NPI 1124041280
Psychologist - Clinical in Berkeley, CA

Q: What is Bryan Port's NPI number?

The NPI number for Bryan Port is 1124041280. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Bryan Port's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Port was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 26, 2006

2046 LINCOLN ST # 2, BERKELEY, CA 94709(510) 883-1847 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bryan B. Port Psy.d. NPPES

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

BRYAN B. PORT PSY.D. (NPI 1124041280) is an individual clinical provider in Berkeley, California, licensed in California (PSY19116) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1124041280

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBRYAN B. PORTCredential: PSY.D.

Location Address2046 LINCOLN ST # 2Berkeley, CA 94709-2018

Mailing Address2046 Lincoln St # 2Berkeley, CA 94709-2018 · (510) 883-1847

Phone(510) 883-1847

Sole ProprietorYes

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124041280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY19116

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2046 LINCOLN ST # 2, Berkeley, CA 94709

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Other Identifiers 1

Medicare UPINOPL191160CA

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 Bryan Port's NPI number?

The NPI number for Bryan Port is 1124041280. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Bryan Port located?

Bryan Port practices at 2046 Lincoln St # 2, Berkeley, CA 94709. The listed phone number is (510) 883-1847.

What is Bryan Port's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Bryan Port was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.