Marie Lisa Skanis, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

TE61226778 Issued in WA

Practice address

1603 S 3Rd St
Mount Vernon, WA 98273-4909

Phone

(360) 588-2500

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Marie Skanis Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Neuropsychology, PLLCGroup PAC ID 2961767512, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cascade Neuropsychology, PLLC

  dba Cascade Neuropsychology

  • Clinical Neuropsychologist
  • Bellingham, WA
  • NPI 1871099937
  Medicare reassignment Care Compare group NPD
• Valley Roots Family Care PLLC

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1144693250
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1427729623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750776",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997750776",
            "telephone_number": "907-460-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S 3RD ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734909",
            "telephone_number": "360-588-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKANIS",
        "first_name": "MARIE",
        "middle_name": "LISA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "TE61226778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SKANIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Skagit Valley Medical Center, Inc PS
• Skagit Valley Medical Center, Inc PS
• Skagit Valley Medical Center, Inc, PS
• Skagit Valley Medical Center, Inc., P.S.
• Skagit Valley Ultrasound Associates
• Bruce C Skinner, MD
• Michael A Skjei, PT, ATC
• Donald Loren Slack, M.D.
• Sonia Sleiman
• Robert O Slind, MD

• Clinical Psychologist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.