MR. IVAN SKOLNIKOFF M.A.
NPI 1942219126
Marriage & Family Therapist in Berkeley, CA
About Mr. Ivan Skolnikoff M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. IVAN SKOLNIKOFF M.A. (NPI 1942219126) is an individual marriage & family therapist in Berkeley, California, licensed in California (MFC35832) and active in the NPI registry since August 2006. He has opted out of Medicare through December 28, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Ivan Skolnikoff M.a. 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 December 28, 2024 through December 28, 2026.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ivan Skolnikoff's NPI number?
The NPI number for Ivan Skolnikoff is 1942219126. It was assigned to this individual provider in the NPPES registry on August 5, 2006.
Where is Ivan Skolnikoff located?
Ivan Skolnikoff practices at 2127 Ashby Ave, Berkeley, CA 94705. The listed phone number is (510) 496-6029.
What is Ivan Skolnikoff's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Ivan Skolnikoff enrolled in Medicare?
No. Ivan Skolnikoff has opted out of Medicare through December 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ivan Skolnikoff was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Ivan Skolnikoff, M.A. · NPI 1942219126
Marriage & Family Therapist provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1942219126 (Entity type: Individual)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC35832 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2127 ASHBY AVE, Berkeley, CA 94705-1884
- **Phone:** (510) 496-6029
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 28, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** April 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942219126) · Data from the CMS NPPES public registry.