DR. JESSICA R SKIDMORE (NPI# 1558743161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558743161 |
| Entity Type | Individual |
| Full Name | DR. JESSICA R SKIDMORE |
| Credential | PH.D. |
| Practice Address |
10140 Campus Point Dr San Diego CA 92121-1520 |
| Mailing Address |
10790 Rancho Bernardo Rd Mail Drop 4s-205 In Address 2 Box San Diego CA 92127-5705 |
| Practice Telephone | 8586787050 |
| Mailing Telephone | 8589275775 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26756 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174021802 | Jessica Skidmore | Assistant Behavior Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2018-01-29 |
| 1518225143 | Jessica Skidmore | Marriage & Family Therapist | 4930 S Sheridan Rd, Tulsa, OK 74145-5712 | 2012-05-02 |
| Street Address |
10140 CAMPUS POINT DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952497265 | Marnie L Fischer | Dietitian, Registered | 10140 Campus Point Dr, Suite 100, San Diego, CA 92121-1520 | 2006-10-05 |
| 1558979815 | Cristina Pulido | Nutritionist | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2020-07-22 |
| 1649888942 | Jodie Goodman Block | Dietitian, Registered | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2020-07-22 |
| 1548752645 | Marina Mattson | Dietitian, Registered | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2018-06-04 |
| 1659876340 | Susana Sanchez | Health Educator | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2018-03-26 |
| 1174933477 | Annabelle Sanchez | Dietitian, Registered | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2014-05-07 |
| 1821429705 | Debra Von Pohle | Dietitian, Registered | 10140 Campus Point Dr, Suite 140, San Diego, CA 92121-1520 | 2013-12-03 |
| 1942649736 | Cheryl Elaine Tibbitts | Dietitian, Registered | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2013-06-14 |
| 1487928891 | Scripps Health | General Acute Care Hospital | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2012-03-02 |
| 1699043000 | Scripps Health Inpatient Providers Medical Group Inc. | Emergency Medicine | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2011-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on DR. JESSICA R SKIDMORE.
| 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.