Individual provider Active NPI

Stephanie L Skow, MD

  • Psychiatry Physician
  • Lihue, HI
National Provider Identifier
1013938158
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LL1692 Issued in NV
Practice address
4334 Rice St
Ste. 203a
Lihue, HI 96766-1810
Phone
(808) 634-2376
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LL1692 NV Primary
Psychiatry Physician 2084P0800X 14940 HI

Addresses

Primary practice location

4334 Rice St
Ste. 203a
Lihue, HI 96766-1810

Mailing address

4334 Rice St
Ste. 203a
Lihue, HI 96766-1810
Phone (808) 634-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000692 HI Practitioner - Psychiatry 8729134465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4334 Rice St
Suite 204
Lihue, HI 96766-1801
Phone (808) 634-2376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14940HIMDPsychiatry Physician
LL1692NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Skow MD Inc Psychiatry CurrentSince Oct 7, 2009 Accepting new patients
Dr Susan Hall PastSince Oct 7, 2009 Accepting new patients

Locations

4334 Rice St
Ste 204
Lihue, HI 96766
Phone (808) 634-2376

4334 Rice St
Ste 203A
Lihue, HI 96766
Phone (808) 634-2376

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1013938158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 RICE ST",
            "address_2": "STE. 203A",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661810",
            "telephone_number": "808-634-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 RICE ST",
            "address_2": "STE. 203A",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661810",
            "telephone_number": "808-634-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOW",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "LL1692",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "14940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.