ACT II PSYCHOLOGY, INC.
NPI 1700164878
Psychologist - Clinical in Salem, OR

Active since July 23, 2011
4742 LIBERTY RD S # 699, SALEM, OR 97302(503) 400-7500(503) 581-1069 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Act Ii Psychology, Inc. NPPES

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

ACT II PSYCHOLOGY, INC. (NPI 1700164878) is a healthcare organization registered as a clinical in Salem, Oregon and active in the NPI registry since July 2011. The organization lists David Brillhart, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1700164878
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameACT II PSYCHOLOGY, INC.
Location Address4742 LIBERTY RD S # 699Salem, OR 97302-5037
Mailing Address4742 Liberty Rd S # 699Salem, OR 97302-5037 · (503) 400-7500 · Fax (503) 581-1069
Fax(503) 581-1069
Organization SubpartNo
Authorized OfficialDavid BrillhartLicensed Psychologist · (503) 400-7500
Enumeration DateJuly 23, 2011
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 25, 2025
NPI 1700164878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
4742 LIBERTY RD S # 699, Salem, OR 97302

Other Identifiers 1

Other12252868OR · Caqh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
4742 LIBERTY RD S # 699
SALEM, OR 97302

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 Act II Psychology, Inc.'s NPI number?

The NPI number for Act II Psychology, Inc. is 1700164878. It was assigned to this organization in the NPPES registry on July 23, 2011.

Where is Act II Psychology, Inc. located?

Act II Psychology, Inc. is located at 4742 Liberty Rd S # 699, Salem, OR 97302. The listed phone number is (503) 400-7500.

What is Act II Psychology, Inc.'s specialty?

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

What insurance does Act II Psychology, Inc. accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Act II Psychology, Inc. 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 Act II Psychology, Inc. was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.