Active NPI
Javeen Lynette Skoubo, PSYD.
- Psychologist
- Vancouver, WA
National Provider Identifier
1902578628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY61631633
- Practice address
- 10000 NE 7TH Ave Ste 100-L
Vancouver, WA 98685-4599 - Phone
- (360) 340-9164
- NPI assigned
- Sep 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY61631633 | WA | Primary |
| Psychologist | 103T00000X | 4037 | OR |
Addresses
Primary practice location
10000 NE 7TH Ave Ste 100-L
Vancouver, WA 98685-4599
Mailing address
10000 NE 7TH Ave Ste 100-L
Vancouver, WA 98685-4599
Phone (360) 340-9164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500798917 | Medicaid | OR |
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 |
|---|---|---|---|
| R252 | OR | MD | Mental Health Counselor |
| PY61631633 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflect and Renew Psychology PLLC | Current | Accepting new patients | |
| Barbara Majors LLC | Mental Health | Past | Accepting new patients |
Locations
10000 NE 7th Ave
Ste 100L
Vancouver, WA 98685
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1922972975
-
- Adult Mental Health Clinic/Center
- Milwaukie, OR
- NPI 1104323245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1902578628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 NE 7TH AVE STE 100-L",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986854599",
"telephone_number": "360-340-9164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 NE 7TH AVE STE 100-L",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986854599",
"telephone_number": "360-340-9164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOUBO",
"first_name": "JAVEEN",
"middle_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61631633",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "4037",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500798917",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.