N/A

LBN: Act Ii Psychology, Inc.
N/A is an health care organization with primary practice located at 189 Liberty St., Se, Suite 210A The Reed Opera House, Salem OR 97301. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Act Ii Psychology, Inc. can be contacted via phone (503) 400-7500, or through Brillhart, David Cory via phone (503) 400-7500.

Contact Information

Primary practice address
189 Liberty St., Se, Suite 210A The Reed Opera House Salem OR 97301
Phone: (503) 400-7500
Fax: (503) 581-1069
Website:
Map and Directions
Authorized official contact:
Name: Brillhart, David Cory PSY.D.
Phone: (503) 400-7500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 2162 Oregon

Profile Details

NPI number 1700164878
LBN Legal business name Act Ii Psychology, Inc.
DBA Doing business as N/A
Authorized official Brillhart, David Cory PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2011
Last updated Jul 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700164878 NPPES
Oregon Other 12252868 CAQH

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