IndividualActive
Paul Dertien
NPI 1902016363 · Addiction (Substance Use Disorder) Counselor · San Francisco, CA
Provider details
- NPI number
- 1902016363
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
995 Potrero Ave
Ward 93
San Francisco, CA 94110-2859
Phone: (415) 206-8412
Street-level locationGet directions
Mailing address
3769 Cesar Chavez Apt a
San Francisco, CA 94110-4316
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.