Active NPI
Robert E Skelly, PHD
- Psychologist
- Chambersburg, PA
National Provider Identifier
1952483265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS005202L
- Practice address
- 43 W Washington St
Chambersburg, PA 17201-2462 - Phone
- (717) 263-9093
- Fax
- (717) 263-2252
- NPI assigned
- Oct 19, 2006
- Last updated
- Apr 14, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS005202L | PA | Primary |
Addresses
Primary practice location
43 W Washington St
Chambersburg, PA 17201-2462
Mailing address
PO Box 608
Lemont, PA 16851-0608
Phone (717) 263-9093
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258421 | Other | MAMSI | |
| SK666502 | Other | PA | BLUE SHIELD |
| 156751 | Other | VALUE OPTIONS | |
| 50249 | Other | PA | SOUTH CENTRAL PREFERRED |
| 306227 | Other | MHN | |
| 50009675 | Other | PA | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1952483265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "LEMONT",
"state": "PA",
"postal_code": "168510608",
"telephone_number": "717-263-9093",
"fax_number": "717-263-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 W WASHINGTON ST",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012462",
"telephone_number": "717-263-9093",
"fax_number": "717-263-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELLY",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS005202L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "258421",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "SK666502",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "156751",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CENTRAL PREFERRED",
"identifier": "50249",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "306227",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50009675",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.