DR. SUSAN SKOLEK PSYD
NPI 1114923745
Psychologist in Guerneville, CA

Active since June 28, 2005PECOS Enrolled
16319 THIRD STREET, GUERNEVILLE, CA 95446(707) 869-2849(707) 869-1477 Get Directions Write a Review

NPPES record last updated: April 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Skolek Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN SKOLEK PSYD (NPI 1114923745) is an individual psychologist in Guerneville, California, licensed in California (PSY20220) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114923745
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN SKOLEKCredential: PSYD
Location Address16319 THIRD STREETGuerneville, CA 95446
Mailing AddressPo Box 1449Guerneville, CA 95446-1449 · (707) 869-2849 · Fax (707) 869-1477
Fax(707) 869-1477
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateApril 4, 2008
NPI 1114923745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY20220
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
16319 THIRD STREET, Guerneville, CA 95446

Other Identifiers 6

OtherZZZ73222ZMedicare Id
MedicaidFHC03887FCA
Medicare OSCAR/certification551839
Medicare ID-Type Unspecified0PL202200CA · Medicare Part B
MedicaidFHC70957FCA
Medicare UPINQ43191CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan Skolek Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Community Health)
16319 THIRD STREET
GUERNEVILLE, CA 95446
Nurse Practitioner (Family)
16319 THIRD STREET
GUERNEVILLE, CA 95446
Nurse Practitioner (Family)
16319 THIRD STREET
GUERNEVILLE, CA 95446
Clinic/Center (Federally Qualified Health Center (FQHC))
16319 THIRD STREET
GUERNEVILLE, CA 95446
Family Medicine
16319 THIRD STREET
GUERNEVILLE, CA 95446
Family Medicine
16319 THIRD STREET
GUERNEVILLE, CA 95446
Internal Medicine
16319 THIRD STREET
GUERNEVILLE, CA 95446
Family Medicine
16319 THIRD STREET
GUERNEVILLE, CA 95446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Skolek's NPI number?

The NPI number for Susan Skolek is 1114923745. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Susan Skolek located?

Susan Skolek practices at 16319 Third Street, Guerneville, CA 95446. The listed phone number is (707) 869-2849.

What is Susan Skolek's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Skolek enrolled in Medicare?

Yes. Susan Skolek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Skolek was last updated on April 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.