Eleanor Mary Skinner, EDD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

3979 Issued in MA

Practice address

664 Main St
Amherst, MA 01002-2439

Phone

(413) 253-3211

NPI assigned

Sep 10, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1366637738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LARKSPUR DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023438",
            "telephone_number": "413-256-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 MAIN ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022439",
            "telephone_number": "413-253-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ELEANOR",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "3979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "WO3970",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Briana Shepherd, PH.D.
• Amy Siege, LICSW
• Ray E Silveria, LCSW
• Sheila Simon, NURSEMASSAGETHERAPIS
• Robert Emmett Simpson Jr., LICSW
• Gabrielle Elana Slavin, MA
• Ashley Smith, RPH
• Christian Smith, LICSW
• Colborn William Smith, PH.D.
• Jeffrey Brian Smith, ATC

• Health Service Psychologist in Amherst, MA
• Providers in Amherst, MA by specialty
• Health Service Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.