DR. PATRICIA T SKELLIE (PSY.D.) – Psychologist, NPI 1104996628

DR. PATRICIA T SKELLIE (PSY.D.) is a healthcare provider. based in Marietta, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PSY002988 (GA). The NPI Number for DR. PATRICIA T SKELLIE (PSY.D.) is 1104996628

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICIA T SKELLIE (PSY.D.)
NPI
1104996628
Phone
(770) 953-6401
Address
2520 WINDY HILL RD SE
Enumeration Date
9 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709536401
Graduation Year
2004 (22 years ago)
PAC ID
0042489163
Group Practice PAC ID
4587645635
Professional Enrollment ID
I20110808000021
Address ID
GA301019524AC3950XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

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Provider Addresses for DR. PATRICIA T SKELLIE (PSY.D.)

  • 2520, Windy Hill Road Southeast, Marietta, Cobb County, Georgia, 30067, United States

    SUITE 203

    MARIETTA, GA 300678664

    Phone: (770) 953-6401

    Fax: (770) 953-6015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110808000021IClinical PsychologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587645635View full group profile
NameSpecialtyState
Clinical PsychologistGA
Clinical PsychologistGA
Clinical PsychologistGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

Is there an official ID for DR. PATRICIA T SKELLIE (PSY.D.) in U.S. healthcare records?
The official identifier for DR. PATRICIA T SKELLIE (PSY.D.) is NPI 1104996628.
Is there an active status for DR. PATRICIA T SKELLIE (PSY.D.)?
For scheduling context, DR. PATRICIA T SKELLIE (PSY.D.) is shown as active in the registry.
What clinical focus is listed for DR. PATRICIA T SKELLIE (PSY.D.)?
At a glance, DR. PATRICIA T SKELLIE (PSY.D.) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. PATRICIA T SKELLIE (PSY.D.) located near Marietta?
DR. PATRICIA T SKELLIE (PSY.D.) currently maps to Marietta, Georgia in this extract.
Does DR. PATRICIA T SKELLIE (PSY.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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