Erin Scollin Skiffer, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27007 Issued in CA

Practice address

21 Tamal Vista Blvd Ste 162
Corte Madera, CA 94925-1146

Phone

(415) 870-1425

NPI assigned

Aug 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Kathleen Scollin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Bay Area MHC Psychology PC

  • Clinical Psychologist
  • Corte Madera, CA
  • NPI 1639796402
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1295083368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 162",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251146",
            "telephone_number": "415-870-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 162",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251146",
            "telephone_number": "415-870-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIFFER",
        "first_name": "ERIN",
        "middle_name": "SCOLLIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SCOLLIN",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Lynn Simon, MS, AMFT, APCC
• Emily Simons, M.A. CCC - SLP
• Faye Simpson, LMFT
• Siu Chiropractic Inc
• Tommy Siu, DC
• Kathy Claire Slane, OTR/L
• Alison Smith, M.D.
• Amanda Lee Snow
• Social Wig Co.
• Lisa Sondin, LMFT

• Psychologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.