MR. DOUGLAS WAYNE SKELLY-BROWN III LMFT
NPI 1770878977
Marriage & Family Therapist in San Diego, CA

Q: What is Douglas Skelly-brown's NPI number?

The NPI number for Douglas Skelly-brown is 1770878977. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Q: What is Douglas Skelly-brown's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since June 15, 2011PECOS Enrolled

3420 KENYON ST, SAN DIEGO, CA 92110(619) 221-6493 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2021, May 10, 2019 (2 updates tracked since 2019).

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About Mr. Douglas Wayne Skelly-brown Iii Lmft NPPES

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

MR. DOUGLAS WAYNE SKELLY-BROWN III LMFT (NPI 1770878977) is an individual marriage & family therapist in San Diego, California, licensed in California (50134) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770878977

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. DOUGLAS WAYNE SKELLY-BROWN IIICredential: LMFT

Location Address3420 KENYON STSan Diego, CA 92110-5001

Mailing Address3420 Kenyon StSan Diego, CA 92110-5001 · (619) 221-6493

Phone(619) 221-6493

Sole ProprietorNo

Enumeration DateJune 15, 2011

Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1770878977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 50134

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3420 KENYON ST, San Diego, CA 92110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Douglas Wayne Skelly-brown Iii Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CHANNING GREDVIG LCSW

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