Olivia Skalski, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

11678 Issued in MA

Practice address

631 Lincoln St
Worcester, MA 01605-2010

Phone

(508) 595-0716

Fax

(508) 595-1130

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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.

• Partners Counseling and Family Services, Inc.

  dba Community Care and Counseling Services

  • Clinic/Center
  • Framingham, MA
  • NPI 1619555331
  Medicare reassignment NPD

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1558818443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052010",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052010",
            "telephone_number": "508-595-0716",
            "fax_number": "508-595-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALSKI",
        "first_name": "OLIVIA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven B Sitzman, M.D.
• Jeffrey D Sivert, PTA
• Erica F. Siwila-Sackman, MD
• Jan Sjoquist
• Leigh Abuisi Skal, LCSW
• Mary Ann Skarani, MA
• Brian M Skehan, M.D.
• Nancy Skehan, M.D.
• Alyson Nicole Skelly, DO
• Gilbert L Skidmore, LMHC

• Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.