Andrea Oliver Skelton, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29707 Issued in OK

Practice address

16620 N 40TH St Ste H4
Phoenix, AZ 85032-3399

Phone

(602) 464-9576

Fax

(602) 626-8901

NPI assigned

Mar 31, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Andrea Jane Oliver Former name

Medicare fee-for-service enrollment

Enrolled in OK, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

PsychiatryAlso: Neuropsychiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alliance Health Center IncGroup PAC ID 1355366113, 9 clinicians

Psychology Associates, LLCGroup PAC ID 9739356684, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alliance Health Center Inc.

  • Psychiatry Physician
  • Meridian, MS
  • NPI 1679850150
  Medicare reassignment Care Compare group NPD
• Psychology Associates, LLC

  • Psychologist
  • Meridian, MS
  • NPI 1336335546
  Medicare reassignment Care Compare group NPD
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD
• Mindful Psychiatry, PC

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1457852659
  NPD Authorized official
• Alliance Health Center Inc

  • Psychiatric Hospital
  • Meridian, MS
  • NPI 1831184951
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1003131285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 N 16TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165344",
            "telephone_number": "602-266-8700",
            "fax_number": "602-296-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE H4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323399",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Main St",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730715305",
            "country_code": "US",
            "telephone_number": "405-573-6602",
            "fax_number": "405-573-6684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6535 W Camelback Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850331608",
            "country_code": "US",
            "telephone_number": "623-231-5535",
            "fax_number": "623-231-5978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 E Guadalupe Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345116",
            "country_code": "US",
            "telephone_number": "480-907-6818",
            "fax_number": "480-907-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "ANDREA",
        "middle_name": "OLIVER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "29707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "OLIVER",
            "middle_name": "JANE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vadivambihai Skantharoopan, M.D.
• Jennifer Skattum
• Cameron Skaugrud, D.D.S.
• Jeff Skeens, LAMFT, MMFT, MDIV
• Anna E Skelley, LCSW
• Janice Skelton, N.D.
• Myung Mee Skelton, ANP
• Erica B Skepnek, PSY.D.
• Laura Skiba, NP
• Joseph L. Skibba, MD

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.