David Cory Brillhart, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2162 Issued in OR

Practice address

4742 Liberty Rd S # 699
Salem, OR 97302-5037

Phone

(503) 400-7500

Fax

(503) 581-1069

NPI assigned

Jun 6, 2011

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Act II Psychology, Inc.

  • Clinical Psychologist
  • Salem, OR
  • NPI 1700164878
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1700170818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 LIBERTY RD S # 699",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025037",
            "telephone_number": "503-400-7500",
            "fax_number": "503-581-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 LIBERTY RD S # 699",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025037",
            "telephone_number": "503-400-7500",
            "fax_number": "503-581-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILLHART",
        "first_name": "DAVID",
        "middle_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Brietenbauch
• James Joseph Briggs, LPC
• Kendal Rochelle Briggs
• Bright Minds Hearing, LLC (Bright Minds Hearing)
• Brightsmile Family Dental, LLC
• Brilliant Eye Care LLC
• Monica Molsee Brillig
• Patricia Leann Brinlee
• Thomas L Bristol, M.D.
• Ashlee Kay Britton, CADC-R

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.