IndividualActive
Jay Skidmore, PH.D.
NPI 1043664352 · Clinical Psychologist · Everett, WA
Provider details
- NPI number
- 1043664352
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY00002488 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2230 Rucker Ave Ste 100
Everett, WA 98201-2772
Phone: (206) 200-4357
Street-level locationGet directions
Mailing address
15121 62nd Ave W
Edmonds, WA 98026-4105
Registry dates
- Enumerated
- 2016-04-22
- Last updated
- 2016-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.