JON BULLOCK SKIDMORE (NPI# 1407977903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407977903 |
| Entity Type | Individual |
| Full Name | JON BULLOCK SKIDMORE |
| Credential | PSY.D. |
| Practice Address |
363 E 1200 S Orem UT 84058-6904 |
| Mailing Address |
Po Box 336 Orem UT 84059-0336 |
| Practice Telephone | 8014262685 |
| Mailing Telephone | 8014262685 |
| Mailing Fax Number | 8012244475 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
266381-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
363 E 1200 S |
| City | OREM |
| State | UT |
| Zip Code | 84058-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073545463 | Bradley Lynn Edgington | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2006-07-07 |
| 1205115276 | John Michio Suyama | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2011-08-09 |
| 1881829679 | Heather Dyeann Hoyal | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2009-05-21 |
| 1568645539 | Family Psych Services | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2007-12-12 |
| 1851583710 | Alliance Behavioral Psychology, LLC | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598291395 | Utah Valley Psychology | Psychologist | 568 E 1400 S, Orem, UT 84097-7714 | 2017-05-11 |
| 1376079566 | Tru Living Psychology | Psychologist | 359 E 1200 S, Orem, UT 84058-6904 | 2017-05-07 |
| 1265857361 | C.y. Roby, Ph.d., P.C. | Psychologist | 768 S 400 E, Orem, UT 84097-6322 | 2014-02-26 |
| 1306198262 | Mikle and Mikle South | Psychologist | 424 S 900 E, Orem, UT 84097-6545 | 2012-10-02 |
| 1881996148 | Stephen Thayer | Psychologist | 703 S State St Ste 1, Orem, UT 84058-6329 | 2010-11-18 |
| 1699864090 | Carlos Y. Roby | Psychologist | 381 E 800 S, Ste 101, Orem, UT 84097-6310 | 2006-10-12 |
| 1760410831 | Gale I Stringham | Psychologist | 224 N Orem Blvd, Orem, UT 84057-6601 | 2006-06-29 |
| 1346888716 | Dianne Lindley Nielsen | Psychologist | 359 E 1200 S, Orem, UT 84058-6904 | 2019-12-17 |
| 1366929671 | Tracy E Brown | Psychologist | 412 W 800 N, Orem, UT 84057-3728 | 2018-07-19 |
| 1326561408 | Aaron Allred | Psychologist | 935 S Orem Blvd, Orem, UT 84058-5011 | 2017-07-20 |
| Find all providers in OREM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.