Act II Psychology, INC.
Psychologist, Clinical in Salem, Oregon
1700164878- 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. The NPI number for Act II Psychology, INC. is 1700164878. The current practice location address is 4742 Liberty RD S # 699, Salem, OR 97302-5037 and the office can be reached by phone at 503-400-7500 and by fax at 503-581-1069. The NPI was assigned on July 23, 2011 and the record was last updated in NPPES on July 31, 2025.
●Provider Profile Details
- NPI Number
- 1700164878
- Provider Name
- Act II Psychology, INC.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. David Brillhart, PSYD · Licensed Psychologist · 503-400-7500
- Enumeration Date
- July 23, 2011
- Last Update Date
- July 31, 2025
- Certification Date
- July 25, 2025
- NPI Status
- Active
- Other Names
- N/A (Former Legal Business Name)
◉Business Practice Location Address
- Address
- 4742 Liberty RD S # 699
Salem, OR 97302-5037 - City
- Salem
- State
- Oregon
- ZIP
- 97302-5037
- Country
- US
- Phone Number
- 503-400-7500
- Fax Number
- 503-581-1069
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist, Clinical 193400000X - Single Specialty Group | 103TC0700X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?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 at npiregistry.cms.hhs.gov.