Forrest Kublick, PSY.D.
NPI 1043419609ActiveIndividual· Psychologist, Clinical· Portland, OR
Psychologist, Clinical (PSY.D.) in Portland, Oregon, licensed in OR, with an NPI issued in July 2007. Medicare paid $32,321 for services to 15 patients in 2024.
Overview
| NPI | 1043419609 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 13, 2007 |
| Last updated in NPPES | Mar 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1660 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 275 across 2 procedure codes |
| Paid by Medicare | $32,321 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 572 clinical psychologists in Portland · All clinical psychologists in Oregon