Terri Skinner Chadwick, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

24915 Issued in TX

Practice address

2611 Eisenhauer Rd Apt 1007
San Antonio, TX 78209-3470

Phone

(210) 332-0032

Fax

(210) 333-1833

NPI assigned

Aug 9, 2006

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

Other identifiers 1

Other names 1

• Terry Skinner Bobo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Michelle P. Moran, PH.D.,P.a.

  • Psychologist
  • San Antonio, TX
  • NPI 1669763975
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1902816036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E LOCUST ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123955",
            "telephone_number": "210-333-4755",
            "fax_number": "210-333-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 EISENHAUER RD APT 1007",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093470",
            "telephone_number": "210-332-0032",
            "fax_number": "210-333-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "TERRI",
        "middle_name": "SKINNER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "24915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038760708",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "BOBO",
            "middle_name": "SKINNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Virginia Chacon
• Rebecca Le Ann Chacon
• Rose Marie Chacon, RN
• Nicole Chadbourn
• Reagan Chadwell
• Henan Chae, LCSW
• Robert Nelson Chaffin, DDS
• Jennifer Chaghoury, LVN/CNA/PCH
• Hilberto Villarreal Chagoya, RN
• Leslie Chagoya

• Counseling Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.