IndividualActive
Samuel Skidmore, MS
NPI 1336990563 · Mental Health Counselor · Berkeley, CA
Samuel Skidmore, MS is a Mental Health Counselor provider in Berkeley, CA (NPI 1336990563).
Provider details
- NPI number
- 1336990563
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4300
Phone: (510) 642-9494
Street-level locationGet directions
Mailing address
4056 S Suada Cir
Holladay, UT 84124-1748
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Frequently asked questions
- What is Samuel Skidmore's NPI number?
- Samuel Skidmore's National Provider Identifier (NPI) is 1336990563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Skidmore's specialty?
- Samuel Skidmore is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Samuel Skidmore located?
- Samuel Skidmore's practice location on file with NPPES is 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300.
- What is Samuel Skidmore's phone number?
- The practice phone number listed in the NPPES registry for Samuel Skidmore is (510) 642-9494.
- Is Samuel Skidmore's NPI active?
- Yes — Samuel Skidmore's NPI (1336990563) is active in the NPPES registry as of the last update on 2024-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.