Individual provider Active NPI

Richard Mark Skeffington, M.ED., CAGS

  • School Psychologist
  • Braintree, MA
National Provider Identifier
1285049106
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LEP # 607 Issued in MA
Practice address
639 Granite St Ste 108
Braintree, MA 02184-5367
Phone
(781) 817-5844
Fax
(781) 817-5724
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LEP # 607 MA Primary
School Psychologist 103TS0200X DESE 251074 MA
School Psychologist 103TS0200X NCSP # 22370 DC

Addresses

Primary practice location

639 Granite St Ste 108
Braintree, MA 02184-5367

Mailing address

639 Granite St Ste 108
Braintree, MA 02184-5367
Phone (781) 817-5844

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
NCSP # 22370DCMDSchool Psychologist
DESE 251074MAMDSchool Psychologist
LEP # 607MAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1285049106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST STE 108",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845367",
            "telephone_number": "781-817-5844",
            "fax_number": "781-817-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST STE 108",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845367",
            "telephone_number": "781-817-5844",
            "fax_number": "781-817-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEFFINGTON",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "credential": "M.ED., CAGS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "LEP # 607",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "DESE 251074",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DC",
            "license": "NCSP # 22370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

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