Thomas M Skovholt, PHD,LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0316 Issued in MN

Practice address

6860 Shingle Creek Pkwy
Suite 116
Brooklyn Center, MN 55430-1411

Phone

(763) 560-4860

Fax

(763) 503-1430

NPI assigned

Sep 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• The Counseling Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn Center, MN
  • NPI 1750300620
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780789883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 SHINGLE CREEK PKWY",
            "address_2": "SUITE 116",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301411",
            "telephone_number": "763-560-4860",
            "fax_number": "763-503-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 SHINGLE CREEK PKWY",
            "address_2": "SUITE 116",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301411",
            "telephone_number": "763-560-4860",
            "fax_number": "763-503-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOVHOLT",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD,LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shingle Creek Medical Group, LLC
• Shinning Star Services
• Sisters of Synergy Home Care Services
• Sixxy Sivongxay
• Stephanie Skonieczny
• Nancy Slavik
• Smart Compassionate Care
• SMC Ahston Inc
• Smile Nursing Care, Inc
• Ariyana Smith

• Psychologist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.