DR. SUSAN SKOLEK (NPI# 1114923745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114923745 |
| Entity Type | Individual |
| Full Name | DR. SUSAN SKOLEK |
| Credential | PSYD |
| Practice Address |
16319 Third Street Guerneville CA 95446 |
| Mailing Address |
Po Box 1449 Guerneville CA 95446-1449 |
| Practice Telephone | 7078692849 |
| Practice Fax Number | 7078691477 |
| Mailing Telephone | 7078692849 |
| Mailing Fax Number | 7078691477 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2008-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY20220 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID | ZZZ73222Z | 01 | |
| CA | FHC70957F | 05 | |
| CA | FHC03887F | 05 |
| Street Address |
16319 THIRD STREET |
| City | GUERNEVILLE |
| State | CA |
| Zip Code | 95446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344758 | West County Health Centers, Inc. | Clinic/Center | 16319 Third Street, Guerneville, CA 95446 | 2005-05-31 |
| 1962728550 | Jared Nikolaus Garrison-jakel | Family Medicine | 16319 Third Street, Guerneville, CA 95446 | 2010-04-08 |
| 1548415508 | Jude Fox | Physician Assistant | 16319 Third Street, Guerneville, CA 95446 | 2008-11-18 |
| 1982854618 | Jerrold Paul Elliott IIi | Physician Assistant | 16319 Third Street, Guerneville, CA 95446 | 2008-09-30 |
| 1558528349 | Deette Deville | Family Medicine | 16319 Third Street, Guerneville, CA 95446 | 2008-05-20 |
| 1124226931 | Susan Maria Lavelle | Nurse Practitioner | 16319 Third Street, Guerneville, CA 95446 | 2007-07-03 |
| 1265449797 | Mary Wyman | Nurse Practitioner | 16319 Third Street, Guerneville, CA 95446 | 2006-08-01 |
| 1134135924 | Surani Hayre-kwan | Nurse Practitioner | 16319 Third Street, Guerneville, CA 95446 | 2006-07-31 |
| 1528072386 | West County Health Centers, Inc | Clinic/Center | 16319 Third Street, Guerneville, CA 95446-1449 | 2006-07-28 |
| 1689671968 | Steven Bromer | Family Medicine | 16319 Third Street, Guerneville, CA 95446 | 2005-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840387 | Thomas N Tiffer | Taxi | 14701 Canyon 7 Rd, Guerneville, CA 95446 | 2018-11-26 |
| 1265969059 | Teresa Bowden | Counselor | 16255 1st Street, Guerneville, CA 95446 | 2017-05-11 |
| 1255882502 | Skye Ashley | Marriage & Family Therapist | 16390 Main Street, Guerneville, CA 95446 | 2016-10-21 |
| 1326461187 | Christopher Arthur Newell | Pharmacist | 16251 Main St., Lark Drugs, Guerneville, CA 95446 | 2014-01-30 |
| 1750658159 | Daryl Wolfe | Pharmacist | 16405 River Rd, Guerneville, CA 95446 | 2011-11-30 |
| 1881995041 | Declan Gerard Prendergast | Pharmacist | 16405 River Rd., Guerneville, CA 95446 | 2010-11-04 |
| 1154523272 | West County Community Services | Community/Behavioral Health | 14520 Armstrong Woods Rd, Guerneville, CA 95446 | 2007-06-01 |
| 1912128661 | Raymond Francis Skryja | Dentist | 14001 Old Cazadero Rd, Guerneville, CA 95446 | 2007-05-01 |
| 1598786352 | West County Health Centers, Inc. | Clinic/Center | 16312 Third Street, Guerneville, CA 95446 | 2006-07-21 |
| 1255365532 | Suzanne Kay Saville | Dentist | 16312 3rd Street, Guerneville, CA 95446 | 2006-07-10 |
| Find all providers in zip 95446 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346626744 | Barbara Eliabeth Prosniewski | Psychologist | 19378 Pine Glade, Guerneville, CA 95446-9046 | 2015-08-07 |
| 1568844272 | Cynthia Berman, Ph.d | Psychologist | 16330 Watson Rd, Guerneville, CA 95446-8936 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | GUERNEVILLE |
| Zip Code | 95446 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.