Active NPI
Dorothy Ann Skaggs, L.P.C.C.-S.
- Psychiatric Hospital
- Youngstown, OH
National Provider Identifier
1013242122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- E0700065
- Practice address
- 615 Churchill Hubbard Rd
Youngstown, OH 44505-1332 - Phone
- (330) 545-7918
- Fax
- (330) 759-8683
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | E0700065 | OH | Primary |
Addresses
Primary practice location
615 Churchill Hubbard Rd
Youngstown, OH 44505-1332
Mailing address
615 Churchill Hubbard Rd
Youngstown, OH 44505-1332
Phone (330) 545-7918
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 |
|---|---|---|---|
| E0700065 | OH | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1013242122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CHURCHILL HUBBARD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051332",
"telephone_number": "330-545-7918",
"fax_number": "330-759-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 CHURCHILL HUBBARD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051332",
"telephone_number": "330-545-7918",
"fax_number": "330-759-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAGGS",
"first_name": "DOROTHY",
"middle_name": "ANN",
"credential": "L.P.C.C.-S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "OH",
"license": "E0700065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.