KIMBERLY NICOLE SKILLICORN PSYD
NPI 1720565526
Psychologist - Clinical in Portland, OR

NPI Status: Active since July 24, 2018

Contact Information

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 331-6357

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Accepts Insurance

About KIMBERLY SKILLICORN

This page provides the complete NPI Profile along with additional information for Kimberly Skillicorn, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1720565526 assigned on July 2018. The practitioner's primary taxonomy code is 103TC0700X with license number 2973 (OR). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1720565526
Provider Name
KIMBERLY NICOLE SKILLICORN PSYD
Gender
Female
Entity Type
Individual
Location Address
3550 N INTERSTATE AVE PORTLAND, OR 97227
Location Phone
(503) 331-6357
Mailing Address
2309 5TH AVE APT 404 SAN DIEGO, CA 92101
Mailing Phone
(831) 247-2150
Is Sole Proprietor?
No
Enumeration Date
07-24-2018
Last Update Date
12-17-2021
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A clinical psychologist like Kimberly Skillicorn assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
2973
License State
OR
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720565526
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401061054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 6 + 1 + 0 + 5 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1720565526 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. LEONORA BALBUENA DANTAS MD

Neuromusculoskeletal Medicine & OMM

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6440

DR. LAURETTA LEE YOUNG M.D.

Psychiatry & Neurology

(Psychiatry)

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

PETR MIKSOVSKY M.D.

Obstetrics & Gynecology

3550 N INTERSTATE AVE
KAISER PERMANENTE, DEPT. OF OBSTETRICS & GYNECOLOGY
PORTLAND, OR
ZIP 97227

(503) 285-9321

ALIDA NEELTJE ROL M.D.

Obstetrics & Gynecology

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

DR. JOEL STEPHEN GODBEY M.D.

Internal Medicine

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

MS. JULIE LEE MATTESON ANP-C

Nurse Practitioner

(Adult Health)

3550 N INTERSTATE AVE
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE E
PORTLAND, OR
ZIP 97227

(503) 331-6465

DR. JENNIFER DALE SIMPSON

Internal Medicine

(Rheumatology)

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 904-7778

MRS. EILEEN LINDA LIPKIN L.C.S.W.

Social Worker

(Clinical)

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-5258

LAURIE ANN KRESS LCSW

Social Worker

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 249-3434

ANDREW DORSON FRANK M.D.

Internal Medicine

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6526

JEROME DAVID CASEY PA

Physician Assistant

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

JOJI KAPPES M.D.

Internal Medicine

(Rheumatology)

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-5231

MS. JANE ROSEVELT

Nurse Practitioner

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

DR. JOHN R SWARTZEL M.D.

Internal Medicine

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6440

TERESA MARIE ZAHARIADES LCSW

Social Worker

(Clinical)

3550 N INTERSTATE AVE
KAISER PERMANENTE- INTERSTATE MEDICAL OFFICE EAST
PORTLAND, OR
ZIP 97227

(503) 331-6416

JOHN TAO-FAN CHEN MD

Internal Medicine

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

RENEE M PYPE PA

Physician Assistant

(Medical)

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6440

JENNIFER BASS M.D.

Pediatrics

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6440

MR. THEO B HARPER M.A., L.P.C.

Counselor

(Mental Health)

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

THOMAS FREDERICK SYLTEBO M.D.

Family Medicine

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720565526, enumerated as an "individual" on July 24, 2018.

The provider is located at 3550 N INTERSTATE AVE PORTLAND, OR 97227 and the phone number is (503) 331-6357.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.