Pamela N Skorstad, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19619 Issued in CA

Practice address

647 Camino de Los Mares Ste 226
San Clemente, CA 92673-2860

Phone

(949) 310-6172

Fax

(949) 276-8190

NPI assigned

Mar 26, 2009

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

Medicare fee-for-service enrollment

Enrolled in CA

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Vericare of California Medical Group

  • Clinical Psychologist
  • Paradise, CA
  • NPI 1316992829
  NPD (past)

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1568604288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 VIA TULIPAN",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733723",
            "telephone_number": "949-310-6172",
            "fax_number": "949-276-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES STE 226",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732860",
            "telephone_number": "949-310-6172",
            "fax_number": "949-276-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORSTAD",
        "first_name": "PAMELA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sigua
• Adrienne Silva, BCBA
• Cheryl E. Silverstein, MFT 8856
• Wyatt D. Simons, DDS, PC
• Eden Singh
• Lauren Slak
• Alexandra Smith
• Julie Ann Smith
• Julie Lyn Smith, ACSW
• Laura Rebecca Smith, BCBA

• Psychologist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.