DR. JAY R SKIDMORE PH.D.
NPI 1043664352
Psychologist - Clinical in Everett, WA

Q: What is Jay Skidmore's NPI number?

The NPI number for Jay Skidmore is 1043664352. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Q: What is Jay Skidmore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jay Skidmore was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2016

2230 RUCKER AVE STE 100, EVERETT, WA 98201(206) 200-4357 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jay R Skidmore Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY R SKIDMORE PH.D. (NPI 1043664352) is an individual clinical provider in Everett, Washington, licensed in Washington (PY00002488) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1043664352

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JAY R SKIDMORECredential: PH.D.

Location Address2230 RUCKER AVE STE 100Everett, WA 98201-2772

Mailing Address15121 62nd Ave WEdmonds, WA 98026-4105

Phone(206) 200-4357

Sole ProprietorYes

Enumeration DateApril 22, 2016

✔ NPI 1043664352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY00002488

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2230 RUCKER AVE STE 100, Everett, WA 98201

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN WESTBY, INC.

Social Worker (Clinical)

2230 RUCKER AVE STE 100
EVERETT, WA 98201

Snohomish County (425) 303-0711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Skidmore's NPI number?

The NPI number for Jay Skidmore is 1043664352. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is Jay Skidmore located?

Jay Skidmore practices at 2230 Rucker Ave Ste 100, Everett, WA 98201. The listed phone number is (206) 200-4357.

What is Jay Skidmore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jay Skidmore was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.