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SAMUEL SKIDMORE MS
NPI 1336990563
Counselor - Mental Health in Berkeley, CA

Active since March 27, 2024
2222 BANCROFT WAY SPC 4300, BERKELEY, CA 94720(510) 642-9494 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Skidmore Ms NPPES

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

SAMUEL SKIDMORE MS (NPI 1336990563) is an individual mental health provider in Berkeley, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1336990563
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL SKIDMORECredential: MS
Location Address2222 BANCROFT WAY SPC 4300Berkeley, CA 94720-4300
Mailing Address4056 S Suada CirHolladay, UT 84124-1748
Phone(510) 642-9494
Sole ProprietorYes
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1336990563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2222 BANCROFT WAY SPC 4300, Berkeley, CA 94720
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Other Providers at the Same Location NPPES 20

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

HIMADHARI SHARMA MA
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
DR. MATTHEW READER GOODMAN PH.D.
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-0695
NAWAR ALBARAK
Counselor (Mental Health)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
JESSICA ACOCK CARLISLE
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-2367
ZIYI WANG
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
SHAO-JUNG KO
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9336
AAMINA SHABEER MA
Counselor (Mental Health)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
AMBER JONES A.M., LCSW
Social Worker (Clinical)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494

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 Samuel Skidmore's NPI number?

The NPI number for Samuel Skidmore is 1336990563. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Samuel Skidmore located?

Samuel Skidmore practices at 2222 Bancroft Way Spc 4300, Berkeley, CA 94720. The listed phone number is (510) 642-9494.

What is Samuel Skidmore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samuel Skidmore was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.