DR. FORREST KUBLICK PSY.D.
NPI 1043419609
Psychologist - Clinical in Portland, OR

Q: What is Forrest Kublick's NPI number?

The NPI number for Forrest Kublick is 1043419609. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Forrest Kublick'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 Forrest Kublick was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 13, 2007PECOS EnrolledAccepts Medicare Assignment

1942 NW KEARNEY ST, STE 14, PORTLAND, OR 97209(503) 318-7736(503) 287-4355 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Forrest Kublick Psy.d. NPPES

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

DR. FORREST KUBLICK PSY.D. (NPI 1043419609) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1660) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1043419609

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. FORREST KUBLICKCredential: PSY.D.

Location Address1942 NW KEARNEY ST, STE 14Portland, OR 97209-1463

Mailing Address1942 Nw Kearney St, Ste 14Portland, OR 97209-1463 · (503) 318-7736 · Fax (503) 287-4355

Phone(503) 318-7736

Fax(503) 287-4355

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 13, 2007

Last NPPES UpdateMarch 21, 2018

✔ NPI 1043419609 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 OR · 1660

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.

1942 NW KEARNEY ST, Portland, OR 97209

Open in Google Maps ↗

Other Identifiers 1

Medicaid278037OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Forrest Kublick Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355377052

PECOS Enrollment IDI20050714000079

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

271 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANDERSON DANIEL DUBOISE III

Counselor (Mental Health)

1942 NW KEARNEY ST
PORTLAND, OR 97209

Multnomah County (971) 254-1357

DR. BARBARA KANE CAMPBELL PH.D.

Psychologist (Clinical)

1942 NW KEARNEY ST, SUITE 24
PORTLAND, OR 97209

Multnomah County (503) 227-3932

ANNE HARRIS

Social Worker (Clinical)

1942 NW KEARNEY ST
PORTLAND, OR 97209

Multnomah County (503) 601-0553

CHLOE DEWOLF

Marriage & Family Therapist

1942 NW KEARNEY ST
PORTLAND, OR 97209

Multnomah County (971) 254-1357

NEUROHEALTH ASSOCIATES, LLP

Psychiatry & Neurology (Psychiatry)

1942 NW KEARNEY ST, STE 24
PORTLAND, OR 97209

Multnomah County (503) 221-7074

CAITLYN CHEYENNE HARDING

Counselor (Mental Health)

1942 NW KEARNEY ST
PORTLAND, OR 97209

Multnomah County (971) 254-1357

REECE MALLOY

Counselor (Mental Health)

1942 NW KEARNEY ST
PORTLAND, OR 97209

Multnomah County (971) 254-1357

MR. MICHAEL LAWRENCE CADY RUSSELL MS, NCC, LPC

Counselor (Professional)

1942 NW KEARNEY ST, SUITE 32
PORTLAND, OR 97209

Multnomah County (503) 683-2341

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 Forrest Kublick's NPI number?

The NPI number for Forrest Kublick is 1043419609. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Forrest Kublick located?

Forrest Kublick practices at 1942 NW Kearney St Ste 14, Portland, OR 97209. The listed phone number is (503) 318-7736.

What is Forrest Kublick's specialty?

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

Is Forrest Kublick enrolled in Medicare?

Yes. Forrest Kublick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Forrest Kublick accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Forrest Kublick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Forrest Kublick was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.