Individual provider Active NPI

Olga Skarlato, PH.D.

  • Addiction (Substance Use Disorder) Counselor
  • Sylmar, CA
National Provider Identifier
1013159516
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
13741 Foothill Blvd
Suite 240
Sylmar, CA 91342-3133
Phone
(818) 833-9789
Fax
(818) 833-9790
NPI assigned
Mar 30, 2009
Reactivated
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

13741 Foothill Blvd
Suite 240
Sylmar, CA 91342-3133

Mailing address

13741 Foothill Blvd
Suite 240
Sylmar, CA 91342-3133
Phone (818) 833-9789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128002779 CA Practitioner - Clinical Psychologist 6608244439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Solace, Inc PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1013159516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13741 FOOTHILL BLVD",
            "address_2": "SUITE 240",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423133",
            "telephone_number": "818-833-9789",
            "fax_number": "818-833-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13741 FOOTHILL BLVD",
            "address_2": "SUITE 240",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423133",
            "telephone_number": "818-833-9789",
            "fax_number": "818-833-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARLATO",
        "first_name": "OLGA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "deactivation_date": "2022-03-28",
        "reactivation_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.