MRS. SKIPI LUNDQUIST SMOOT (NPI# 1912930280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912930280 |
| Entity Type | Individual |
| Full Name | MRS. SKIPI LUNDQUIST SMOOT |
| Credential | PHD |
| Practice Address |
23832 Rockfield Blvd Suite 275 Lake Forest CA 92630-2805 |
| Mailing Address |
6 Chamonix Laguna Niguel CA 92677-8904 |
| Practice Telephone | 9497702675 |
| Practice Fax Number | 9494953716 |
| Mailing Telephone | 9497702675 |
| Mailing Fax Number | 9494953716 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY10728 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY10728 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY10728 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY10728 | 05 |
| Street Address |
23832 ROCKFIELD BLVD SUITE 275 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336114545 | Ira Bell | Dermatology | 23832 Rockfield Blvd, Ste 210, Lake Forest, CA 92630-2876 | 2006-02-21 |
| 1811548928 | Miriam Stephens Drake | Counselor | 23832 Rockfield Blvd, 160, Lake Forest, CA 92630 | 2019-09-20 |
| 1023479656 | Anne H Lee Marriage and Family Therapy, Inc. | Community/Behavioral Health | 23832 Rockfield Blvd, Suite 150, Lake Forest, CA 92630-2805 | 2016-03-09 |
| 1184004897 | J. W. Schlingman Chiropractic, Inc. | Chiropractor | 23832 Rockfield Blvd, Suite 255, Lake Forest, CA 92630-2805 | 2015-06-08 |
| 1285983122 | Anne H. Lee | Marriage & Family Therapist | 23832 Rockfield Blvd, Suite 150, Lake Forest, CA 92630-2805 | 2012-09-06 |
| 1801145164 | J W Schlingman Chiropractic Inc | Preferred Provider Organization | 23832 Rockfield Blvd, Suite 255, Lake Forest, CA 92630-2805 | 2012-09-02 |
| 1093084162 | Susan Joy Novak | Psychologist | 23832 Rockfield Blvd, Ste 130, Lake Forest, CA 92630-2860 | 2011-12-20 |
| 1932258902 | Nathan Hunter | Psychologist | 23832 Rockfield Blvd, #150, Lake Forest, CA 92630 | 2007-01-09 |
| 1265589535 | Lola Coxford Brown | Psychologist | 23832 Rockfield Blvd, Suite 150, Lake Forest, CA 92630-2805 | 2007-01-05 |
| 1720141211 | John W. Schlingman IIi | Chiropractor | 23832 Rockfield Blvd, Suite 255, Lake Forest, CA 92630-2805 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427437243 | Bahram Marzban | Psychologist | 22482 Rippling Brk, Lake Forest, CA 92630-5625 | 2015-05-26 |
| 1437563327 | Kendra Klassen | Psychologist | 23792 Rockfield Blvd Ste 290, Lake Forest, CA 92630-2819 | 2014-06-18 |
| 1285998120 | Elizabeth Fishman | Psychologist | 950 N Western Ave Ste 1a, Lake Forest, IL 60045-1734 | 2012-06-26 |
| 1730485137 | Linda Lifur-bennett | Psychologist | 22772 Centre Dr, Suite 180, Lake Forest, CA 92630-6303 | 2011-02-01 |
| 1205146958 | John Eliot Leffel | Psychologist | 222 E Wisconsin Ave, Suite 108, Lake Forest, IL 60045-1735 | 2010-10-15 |
| 1760716179 | Kara Cross | Psychologist | 26052 Ramjit Ct, Lake Forest, CA 92630-5535 | 2009-10-01 |
| 1245417856 | Silvia Vaughn | Psychologist | 23600 El Toro Rd # D163, Lake Forest, CA 92630-4710 | 2008-01-25 |
| 1376755017 | Lisa Anne Fasnacht Hill | Psychologist | 13 Orchard, Suite 103, Lake Forest, CA 92630 | 2007-05-04 |
| 1154541522 | David Scott Levin | Psychologist | 272 E Deerpath Rd, Suite 242, Lake Forest, IL 60045-5314 | 2007-04-26 |
| 1760506265 | Clouia Poock Rath | Psychologist | 579 Ryan Pl, Lake Forest, IL 60045-2436 | 2007-03-19 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on MRS. SKIPI LUNDQUIST SMOOT.
| 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.