Individual provider Active NPI

Judith Skillings, PSY.D.

  • Clinical Psychologist
  • South Hadley, MA
National Provider Identifier
1821100207
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7463 Issued in MA
Practice address
9 College St
Suite 6
South Hadley, MA 01075-1421
Phone
(413) 534-7400
Fax
(413) 534-7483
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7463 MA Primary

Addresses

Primary practice location

9 College St
Suite 6
South Hadley, MA 01075-1421

Mailing address

416 Xenia Ave
Yellow SPGS, OH 45387-1836
Phone (937) 767-9171

Other identifiers 1

IdentifierTypeStateIssuer
W05899OtherMABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20090512000173 OH Practitioner - Clinical Psychologist 8729144241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Layh and Associates IncGroup PAC ID 0749266591, 15 clinicians

Practice addresses (Care Compare)

416 Xenia Ave
Yellow Springs, OH 45387-1836
Phone (937) 767-9171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7463MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Layh & Associates Inc Clinical CurrentSince Sep 27, 2010 Accepting new patients

Locations

416 Xenia Ave
Yellow Springs, OH 45387
Phone (937) 767-9171

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1821100207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 XENIA AVE",
            "city": "YELLOW SPGS",
            "state": "OH",
            "postal_code": "453871836",
            "telephone_number": "937-767-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COLLEGE ST",
            "address_2": "SUITE 6",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751421",
            "telephone_number": "413-534-7400",
            "fax_number": "413-534-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLINGS",
        "first_name": "JUDITH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "W05899",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.