Active NPI
Lori Skucas, PSYD
- Clinical Psychologist
- Media, PA
National Provider Identifier
1639841075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019415
- Practice address
- 107 Chesley Dr Ste 2
Media, PA 19063-1760 - Phone
- (610) 234-2908
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PS019415 | PA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS019415 | PA | |
| Clinical Psychologist | 103TC0700X | PS019415 | PA | Primary |
Addresses
Primary practice location
107 Chesley Dr Ste 2
Media, PA 19063-1760
Mailing address
33 Dunminning Rd
Newtown Square, PA 19073-1801
Phone (917) 783-7385
Other names 1
- Lori Trendler
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lskucas@cbtcenterforanxiety.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019415 | PA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1639841075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 DUNMINNING RD",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190731801",
"telephone_number": "917-783-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHESLEY DR STE 2",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "610-234-2908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKUCAS",
"first_name": "LORI",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS019415",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS019415",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019415",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lskucas@cbtcenterforanxiety.com",
"affiliation": "N",
"endpointDescription": "work email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "107 Chesley Dr Ste 2",
"city": "Media",
"state": "PA",
"country_code": "US",
"postal_code": "190631760",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LORI",
"last_name": "TRENDLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.