DR. RAYMOND CARL SKURDA (PHD) – Clinical Psychologist, NPI 1962670596

DR. RAYMOND CARL SKURDA (PHD) is a healthcare provider. based in Mount clemens, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301001786 (MI). The NPI Number for DR. RAYMOND CARL SKURDA (PHD) is 1962670596

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAYMOND CARL SKURDA (PHD)
NPI
1962670596
Phone
(586) 465-9082
Address
233 SOUTHBOUND GRATIOT AVE
Enumeration Date
17 February 2008
Last Update Date
17 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5864659082
Graduation Year
1974 (52 years ago)
PAC ID
8224290556
Professional Enrollment ID
I20120503000342
Address ID
MI480432413MO233XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. RAYMOND CARL SKURDA (PHD)

  • 233 SOUTHBOUND GRATIOT AVE

    MOUNT CLEMENS, MI 480432413

    Phone: (586) 465-9082

    Fax: (586) 464-7900

    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: 2012-05-03

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
I20120503000342IClinical PsychologistMITBD

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 48043)

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Reviews

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Frequently asked questions

What identifier follows DR. RAYMOND CARL SKURDA (PHD) across health systems?
The NPI 1962670596 uniquely identifies DR. RAYMOND CARL SKURDA (PHD) in U.S. healthcare data.
Quick check: is DR. RAYMOND CARL SKURDA (PHD) active?
Public NPPES data shows DR. RAYMOND CARL SKURDA (PHD) with an active NPI status right now.
What type of care does DR. RAYMOND CARL SKURDA (PHD) provide?
DR. RAYMOND CARL SKURDA (PHD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RAYMOND CARL SKURDA (PHD)?
DR. RAYMOND CARL SKURDA (PHD) is associated with Mount Clemens, Michigan in the same public data insurers reference.
Can I export DR. RAYMOND CARL SKURDA (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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