Intercultural Center for Psychology LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1935 Issued in OR

Legal business name

INTERCULTURAL CENTER FOR PSYCHOLOGY LLC

Practice address

710C Foothills Dr
Suite 104
Newberg, OR 97132

Phone

(503) 930-2065

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sergiy Barsukov, PSYDNPI 1356538847

Title

Psychologist

Phone

(503) 930-2065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergiy Barsukov, PSYD

  • Clinical Psychologist
  • Newberg, OR
  • NPI 1356538847
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1487931523",
    "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": "503-930-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710C FOOTHILLS DR",
            "address_2": "SUITE 104",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-930-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCULTURAL CENTER FOR PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "BARSUKOV",
        "authorized_official_first_name": "SERGIY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-930-2065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habiba Ibrahim
• Adesua Ilogienboh, RD
• Esther Im, NP
• Impact Injury Center, LLC
• Henry Inglesby
• Timothy Steven Irmen, LCSW
• Erica Ironside
• Dale Richard Isaak, ATC
• Jacob K. Bushnell, DDS LLC
• David Jacob

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.