John Robert Skinner Jr., PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-3650 Issued in TX

Practice address

508 Grace St
Waxahachie, TX 75165-3046

Phone

(714) 536-2570

Fax

(972) 709-5786

NPI assigned

Jun 15, 2006

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Skinner Psychological Services, LLC

  • Adult Mental Health Clinic/Center
  • Waxahachie, TX
  • NPI 1972177954
  NPD Authorized official
• Cohealth Psychology Services, P.a.

  • Health Service Psychologist
  • Desoto, TX
  • NPI 1720220148
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1609810092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SHOREWOOD DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163632",
            "telephone_number": "972-298-8701",
            "fax_number": "972-709-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GRACE ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653046",
            "telephone_number": "714-536-2570",
            "fax_number": "972-709-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133709903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133709905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133709902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86087A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Skarpa, FNP
• Skelton Chiropractic Inc.
• Alexandra Skelton, DC
• Madison Elizabeth Skelton, PA-C
• Skinner Psychological Services, LLC
• Kristina Diane Slate, LPC-S
• Craig Van Smith, DDS
• Daphne Smith, RN, CPNP-PC
• Erin T Smith
• Judith A Smith

• Clinical Psychologist in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.