Brent D. Fisk, PSYD
NPI 1124418561ActiveIndividual· Psychologist, Clinical· Newberg, OR
Psychologist, Clinical (PSYD) with Salem Health, practicing in Newberg, Oregon. Medicare paid $9,640 for services to 71 patients in 2024.
Overview
| NPI | 1124418561 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Jan 23, 2015 |
| Last updated in NPPES | Oct 6, 2020 |
| Certified by provider | Oct 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3093 | OR |
| Counselor, Mental Health | 101YM0800X | — | — |
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 | 71 |
|---|---|
| Services billed | 122 across 4 procedure codes |
| Paid by Medicare | $9,640 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Salem HealthSalem, OR · 454 clinicians
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