Skyline Professional Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LISAC-10172 Issued in NM

Legal business name

SKYLINE PROFESSIONAL SERVICES, LLC

Practice address

3970 W 24TH St Ste 209
Yuma, AZ 85364-9263

Phone

(928) 446-7146

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jesus Daniel Sullivan, MS

Title

Ceo

Phone

(928) 446-7146

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1114337565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 209",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649263",
            "telephone_number": "928-446-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 209",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649263",
            "telephone_number": "928-446-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-446-7146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "DVS0017",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "DUI0024",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "LISAC-10172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavel Sinyagovskiy
• Amber Jean Siota
• Cynthia Edralin Sison, M.D.
• Priya Elsa Skaria, M.D
• Cody Harris Skinner, DMD
• Tammy L Slade-Florez, NP
• Melissa Slatky, PT
• Susan Diane Slominski, DO
• Julea Smalenberg
• Small Talk Speech Therapy Services, LLC

• Community/Behavioral Health Agency in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.