Sergiy Barsukov, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1935 Issued in OR

Practice address

502 S Saint Paul Hwy
Newberg, OR 97132-7059

Phone

(503) 949-4961

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intercultural Center for Psychology LLC

  • Psychologist
  • Newberg, OR
  • NPI 1487931523
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1356538847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971320256",
            "telephone_number": "503-949-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S SAINT PAUL HWY",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327059",
            "telephone_number": "503-949-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSUKOV",
        "first_name": "SERGIY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bareroots Therapy LLC
• Mark E. Barnard, D.M.D.
• Stephanie Barner, RD
• Erin Lavonne Barnett, LMT
• Margaret Elisa Barske, MD
• Zo Bauer, DPT
• Romina Isabel Bearzzotti, QMHA-R
• Breanna Joy Becker, DPT
• Matthew Christopher Becker, D.O.
• Evan C Becket, PA-C

• Clinical Psychologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.