- Practice location
- 4742 Liberty RD S # 699, Salem, OR 97302-5037
- Phone
- 503-400-7500
- Fax
- 503-581-1069
- Last updated
- July 31, 2025
Act II Psychology, INC. is a healthcare organization based in Salem, OR. Act II Psychology, INC. practices in Salem, OR. The NPI Number for Act II Psychology, INC. is 1700164878. The current practice location address for Act II Psychology, INC. is 4742 Liberty RD S # 699, Salem, OR 97302-5037 and can be reached out via phone at 503-400-7500 and via fax at 503-581-1069.
Provider Profile Details
- NPI Number
- 1700164878
- Provider Name
- Act II Psychology, INC.
- Provider Entity Type
- Organization
- Address
- 4742 Liberty RD S # 699, Salem, OR 97302-5037
- Phone Number
- 503-400-7500
- Fax Number
- 503-581-1069
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. David Brillhart, PSYD · Licensed Psychologist · 503-400-7500
- Other Names
- N/A (Former Legal Business Name)
- Provider Enumeration Date
- July 23, 2011
- Last Update Date
- July 31, 2025
- Certification Date
- July 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4742 Liberty RD S # 699
Salem, OR 97302-5037 - City
- Salem
- State
- Oregon
- Zip
- 97302-5037
- Phone Number
- 503-400-7500
- Fax Number
- 503-581-1069
Provider Business Mailing Address Details
- Address
- 4742 Liberty RD S # 699
Salem, OR 97302-5037 - City
- Salem
- State
- OR
- Zip
- 97302-5037
- Phone Number
- 503-400-7500
- Fax Number
- 503-581-1069
License Information
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Act II Psychology, INC.?
The NPI number of Act II Psychology, INC. is 1700164878. It was assigned on July 23, 2011 and is currently active in the NPPES registry.
What is the specialty of Act II Psychology, INC.?
Act II Psychology, INC. is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Act II Psychology, INC. practice?
The practice location is 4742 Liberty RD S # 699, Salem, OR 97302-5037. The office can be reached at 503-400-7500 (phone) or 503-581-1069 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700164878 directly on the NPPES registry website.