Individual provider Active NPI

Cristian Blake Skinner, DO, PHD, ABPN

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1538620422
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2024-00137 Issued in NC
Practice address
7200 Creedmoor Rd Ste 200
Raleigh, NC 27613-1711
Phone
(919) 912-5600
Fax
(800) 887-8477
NPI assigned
Mar 25, 2019
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 4086 WV
Psychiatry Physician 2084P0800X 2024-00137 NC Primary

Addresses

Primary practice location

7200 Creedmoor Rd Ste 200
Raleigh, NC 27613-1711

Mailing address

7200 Creedmoor Rd Ste 200
Raleigh, NC 27613-1711
Phone (919) 912-5600

Other practice location 1

5318 Nc Highway 55 Ste 206
Durham, NC 27713-9660
Phone (919) 912-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521002865 NC Practitioner - PsychiatryPractitioner - Neurology 8426490541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apogee Behavioral Medicine PCGroup PAC ID 6204218357, 64 clinicians

Practice addresses (Care Compare)

7200 Creemoor Rd
Suite 200
Raleigh, NC 27613
Phone (919) 912-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4086WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Behavioral Medicine PC Psychiatry CurrentSince Feb 18, 2024 Accepting new patients
Sevenhill Associates PA PastSince Jul 1, 2002 Accepting new patients

Locations

5318 NC Highway 55
Ste 206
Durham, NC 27713
Phone (919) 544-4300

445 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 649-9000

7200 Creedmoor Rd
Ste 200
Raleigh, NC 27613
Phone (919) 912-5600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1538620422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CREEDMOOR RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131711",
            "telephone_number": "919-912-5600",
            "fax_number": "800-887-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CREEDMOOR RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131711",
            "telephone_number": "919-912-5600",
            "fax_number": "800-887-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5318 Nc Highway 55 Ste 206",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277139660",
            "country_code": "US",
            "telephone_number": "919-912-5599",
            "fax_number": "800-887-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "CRISTIAN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DO, PHD, ABPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "4086",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2024-00137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.