Skyline Counseling Center P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022406 Issued in NY

Legal business name

SKYLINE COUNSELING CENTER P.C.

Practice address

352 E 89TH St Apt a
New York, NY 10128-4512

Phone

(929) 262-0674

NPI assigned

Oct 30, 2017

Last updated

Oct 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tara Trout, PSY.D.NPI 1205202900

Title

Owner

Phone

(929) 262-0674

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Trout, PSY.D.

  • Psychologist
  • Brooklyn, NY
  • NPI 1205202900
  NPD Authorized official

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1245742303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 E 89TH ST APT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284512",
            "telephone_number": "929-262-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 E 89TH ST APT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284512",
            "telephone_number": "929-262-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE COUNSELING CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-262-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE COMPANIES",
            "identifier": "1205202900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boris Skverchak, PHARMD
• Samara Rachel Skwiersky, MD
• Sky Dental, P.C.
• Sky Group of Health Care
• Sky Suites LLC
• Skyline Dental, P.C.
• Skyline Pharmacy Inc.
• Skyline Physical Medicine & Rehabilitation PC
• SL Medical Services PC
• SL Physician PC

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.