Active NPI
Edyta Anna Skarbek, PH.D.
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1700969524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 00003812
- Practice address
- 1660 S Columbian Way,
Pshcs, Mail Stop: S - 116 - DDTP
Seattle, WA 98108 - Phone
- (206) 764-2163
- NPI assigned
- Oct 23, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 00003812 | WA | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PY 00003812 | WA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY 00003812 | WA | |
| Psychologist | 103T00000X | PY 00003812 | WA | |
| Group Psychotherapy Psychologist | 103TP2701X | PY 00003812 | WA |
Addresses
Primary practice location
1660 S Columbian Way,
Pshcs, Mail Stop: S - 116 - DDTP
Seattle, WA 98108
Mailing address
224 Pontius Ave N
Apt. # 302
Seattle, WA 98109-5418
Phone (206) 624-0299
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 00003812 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1700969524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 PONTIUS AVE N",
"address_2": "APT. # 302",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095418",
"telephone_number": "206-624-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY,",
"address_2": "PSHCS, MAIL STOP: S - 116 - DDTP",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98108",
"telephone_number": "206-764-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKARBEK",
"first_name": "EDYTA",
"middle_name": "ANNA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY 00003812",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "PY 00003812",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WA",
"license": "PY 00003812",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY 00003812",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "WA",
"license": "PY 00003812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.