Aaron Emil Skalicky, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2843 Issued in CO

Practice address

608 E Harmony Rd
Suite 202
Fort Collins, CO 80525-3210

Phone

(970) 282-4428

Fax

(970) 282-4393

NPI assigned

Jun 28, 2006

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Neurodevelopment Center of Colorado

  • Clinical Child & Adolescent Psychologist
  • Fort Collins, CO
  • NPI 1376785907
  Authorized official Same address or phone
• Neuroeducation Inc PC

  • Clinical Psychologist
  • Spokane, WA
  • NPI 1982694923

  Cognitive & Behavioral

  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1043248313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E HARMONY RD",
            "address_2": "SUITE 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253210",
            "telephone_number": "970-282-4428",
            "fax_number": "970-282-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E HARMONY RD",
            "address_2": "SUITE 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253210",
            "telephone_number": "970-282-4428",
            "fax_number": "970-282-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALICKY",
        "first_name": "AARON",
        "middle_name": "EMIL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CO",
            "license": "2843",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2843",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "2843",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CO",
            "license": "2843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Irene Sisneros, M.A., LPC
• Charles Bradley Sisson, MD
• Lucas D Sittner, D.O.
• Nicole Marie Sitzer, PSY.D.
• Lynda Gail Sizemore, RM
• Madison Marie Skalko
• SKB Therapy
• Samantha Skelton
• Skibine Psychotherapy LLC
• Trevor Skibine

• Clinical Child & Adolescent Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Child & Adolescent Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.