Active NPI
Stephanie Lynn Skibba, PSY.D.
- Clinical Psychologist
- Durham, NC
National Provider Identifier
1760963441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6210
- Practice address
- 5317 Highgate Dr Ste 213
Durham, NC 27713-6622 - Phone
- (919) 576-9022
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6210 | NC | Primary |
Addresses
Primary practice location
5317 Highgate Dr Ste 213
Durham, NC 27713-6622
Mailing address
2828 Tryon Pines Dr
Raleigh, NC 27603-6204
Phone (715) 340-9100
Other practice location 1
20680 Seneca Meadows Pkwy Ste 217
Germantown, MD 20876-7029
Phone (301) 569-6326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6210 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Synergy Psychological Services, LLC | Clinical | Past | Accepting new patients |
| Healthy Synergy Psychological Services, LLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Germantown, MD
- NPI 1184970733
-
- Clinical Psychologist
- Germantown, MD
- NPI 1578933206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1760963441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 TRYON PINES DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276036204",
"telephone_number": "715-340-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 HIGHGATE DR STE 213",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136622",
"telephone_number": "919-576-9022"
}
],
"practiceLocations": [
{
"address_1": "20680 Seneca Meadows Pkwy Ste 217",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208767029",
"country_code": "US",
"telephone_number": "301-569-6326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKIBBA",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "6210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.