SKIPPERGOSH THERAPY LICENSED CLINICAL SOCIAL WORKER INC - NPI 1760107114

Q: What is Skippergosh Therapy Licensed Clinical Social Worker Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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About Skippergosh Therapy Licensed Clinical Social Worker Inc NPPES

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

SKIPPERGOSH THERAPY LICENSED CLINICAL SOCIAL WORKER INC (NPI 1760107114), doing business as Skippergosh Therapy And Counseling, is a healthcare organization registered as a mental health (including community mental health center) in San Diego, California and active in the NPI registry since October 2022. The organization lists Kristyne Skippergosh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760107114

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSKIPPERGOSH THERAPY LICENSED CLINICAL SOCIAL WORKER INC

Location Address5252 BALBOA AVE STE 800San Diego, CA 92117-6970

Mailing Address7777 Westside Dr Apt 445San Diego, CA 92108-1240 · (616) 340-6820

Phone(619) 404-0578

Organization SubpartNo

Authorized OfficialKristyne SkippergoshCeo · (616) 340-6820

Enumeration DateOctober 7, 2022

NPPES CertifiedOctober 7, 2022

✔ NPI 1760107114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

5252 BALBOA AVE STE 800, San Diego, CA 92117

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Other Names 1

Doing Business AsSkippergosh Therapy And Counseling

Other Providers at the Same Location NPPES 12

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

BERNADETTE B. HEID, PSY.D., A PROFESSIONAL PSYCHOLOGY CORPORATION

Psychologist (Clinical)