Justine R. Skiba, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68014247 Issued in NY

Practice address

6339 Mill St
Rhinebeck, NY 12572-1427

Phone

(845) 871-1119

NPI assigned

Sep 4, 2013

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Astor Services for Children & Families

  • Health Maintenance Organization
  • Rhinebeck, NY
  • NPI 1174908743
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1902231491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5005",
            "address_2": "ASTOR SERVICES FOR CHILDREN & FAMILIES 6339 MILL STREET",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125725005",
            "telephone_number": "845-871-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MILL ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721427",
            "telephone_number": "845-871-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBA",
        "first_name": "JUSTINE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68014247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin J Silverstein, M.D.
• Elizabeth Singh, MD
• Anne Skamai, PH.D.
• Mary Catherine Skeen, R.N.
• Theresa Anne Skelly, PA-C
• James Shawn S Smith, RN-PARAMEDIC
• Larry Snyder, D.M.D.
• Lisa Snyder, LMHC, CASAC
• Molly Katherine Sobolewski, PT, DPT, MS, ATC,LAT
• Solano Industries, Inc

• Clinical Psychologist in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.