Act II Psychology, Inc.
NPI 1700164878 · Clinical Psychologist · Salem, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Act II Psychology, Inc. is a Clinical Psychologist organization in Salem, OR (NPI 1700164878).
Provider details
- NPI number
- 1700164878
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- David Brillhart, Licensed Psychologist(503) 400-7500
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Other names (DBA / former)
- Former legal business name
- N/A
Registry dates
- Enumerated
- 2011-07-23
- Last updated
- 2025-07-31
- Certified
- 2025-07-25
Frequently asked questions
- What is Act II Psychology, Inc.'s NPI number?
- Act II Psychology, Inc.'s National Provider Identifier (NPI) is 1700164878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Act II Psychology, Inc.?
- Act II Psychology, Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Act II Psychology, Inc. located?
- Act II Psychology, Inc.'s practice location on file with NPPES is 4742 Liberty Rd S # 699, Salem, OR 97302-5037.
- What is Act II Psychology, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Act II Psychology, Inc. is (503) 400-7500.
- Does Act II Psychology, Inc. accept Medicare?
- Act II Psychology, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Act II Psychology, Inc.?
- The authorized official listed on Act II Psychology, Inc.'s NPPES record is David Brillhart, Licensed Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Act II Psychology, Inc.'s NPI active?
- Yes — Act II Psychology, Inc.'s NPI (1700164878) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.