JORDAN SKALISKY PHD
NPI 1497302210
Psychologist in Olympia, WA

Active since August 26, 2019Opted out of Medicare · through Apr 25, 2027
711 STATE AVE NE, OLYMPIA, WA 98506(360) 943-0780(360) 943-0785 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Jan 6, 2026, Jun 8, 2025 and 1 more (4 updates tracked since 2019).

About Jordan Skalisky Phd NPPES

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

JORDAN SKALISKY PHD (NPI 1497302210) is an individual psychologist in Olympia, Washington, licensed in Washington (PY61337933) and active in the NPI registry since August 2019. She has opted out of Medicare through April 25, 2027 and remains eligible to order and refer and maintains a secondary practice location in Lacey.

NPPES Registry Identity

NPI1497302210
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJORDAN SKALISKYCredential: PHD
Location Address711 STATE AVE NEOlympia, WA 98506-3984
Mailing Address5010 Kenrick St SeLacey, WA 98503-7303 · (206) 678-9895
Fax(360) 943-0785
Sole ProprietorYes
Enumeration DateAugust 26, 2019
Last NPPES UpdateApril 2, 20264 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1497302210 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 WA · PY61337933
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.

711 STATE AVE NE, Olympia, WA 98506

Secondary Practice Location 1

Location 15010 Kenrick St SELacey, WA 98503-7303 · Phone (206) 312-1803 · Fax (206) 488-1544

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jordan Skalisky Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2025 through April 25, 2027.

Opt-Out Effective DateApril 25, 2025
Opt-Out In Effect ThroughApril 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Counselor
711 STATE AVE NE
OLYMPIA, WA 98506
Counselor
711 STATE AVE NE
OLYMPIA, WA 98506
Community Health Worker
711 STATE AVE NE
OLYMPIA, WA 98506
Social Worker (Clinical)
711 STATE AVE NE
OLYMPIA, WA 98506
Counselor
711 STATE AVE NE
OLYMPIA, WA 98506
Counselor (Mental Health)
711 STATE AVE NE
OLYMPIA, WA 98506
Counselor
711 STATE AVE NE
OLYMPIA, WA 98506
Counselor
711 STATE AVE NE
OLYMPIA, WA 98506

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 Jordan Skalisky's NPI number?

The NPI number for Jordan Skalisky is 1497302210. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Jordan Skalisky located?

Jordan Skalisky practices at 711 State Ave NE, Olympia, WA 98506. The listed phone number is (360) 943-0780.

What is Jordan Skalisky's specialty?

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

Is Jordan Skalisky enrolled in Medicare?

No. Jordan Skalisky has opted out of Medicare through April 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jordan Skalisky accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jordan Skalisky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Skalisky was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.