Barry Michael Skoblar, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3576 Issued in NC

Practice address

219 Racine Dr Ste B
Wilmington, NC 28403-8828

Phone

(910) 791-6277

Fax

(910) 791-6226

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lecci Psychological Services, PLLCGroup PAC ID 3476566324, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45.7 of 100Reported as group

Quality

54.91

Improvement activities

0

Cost

79.11

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lecci Psychological Services, PLLC

  • Psychologist
  • Wilmington, NC
  • NPI 1811976426
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1528229945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RACINE DR STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038828",
            "telephone_number": "910-791-6277",
            "fax_number": "910-791-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RACINE DR STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038828",
            "telephone_number": "910-791-6277",
            "fax_number": "910-791-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOBLAR",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1811976426",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lauren Skaret, M.D.
• Whitney Marie Skelly, LCSWA
• Skill Creations Inc
• David Scott Skinner, DDS
• Skip Tyson DDS & Stephanie Heaney DDS PA
• Martha Skountzos
• Korah Schaffert Skuce, LCSW
• Farah Haleema Slaczka, MD
• Mateusz Slaczka, MD
• Miranda Slater, LCMHC, LCAS

• Clinical Neuropsychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.