NICOLE E SKYLIS (NPI# 1376875666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376875666 |
| Entity Type | Individual |
| Full Name | NICOLE E SKYLIS |
| Credential | LCSW |
| Practice Address |
3174 Packard St Ann Arbor MI 48108-1947 |
| Practice Telephone | 7349711073 |
| Mailing Telephone | 7349711073 |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2009009067 | MO | Behavioral Health & Social Service Providers |
| Street Address |
3174 PACKARD ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124085972 | Carisalyn Nicole Cousin | Nurse Practitioner | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2006-04-26 |
| 1467069492 | Corey Telin | Social Worker | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2020-09-24 |
| 1487175048 | Grace Kelley | Registered Nurse | 3174 Packard St, Ann Arbor, MI 48108 | 2017-07-03 |
| 1174050694 | Elizabeth Annette Patterson | Nurse Practitioner | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2017-05-15 |
| 1922491760 | Packard Health, Inc. | Clinic/Center | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2015-03-17 |
| 1609216795 | Angie L. Wang | Family Medicine | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2013-07-03 |
| 1700137528 | Kari M Bail | Nurse Practitioner | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-09-20 |
| 1982970380 | Ronald Romero | Family Medicine | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-03-29 |
| 1225304272 | Victoria Jean Nichols | Family Medicine | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-03-23 |
| 1710250477 | Meaghan Cotter | Registered Nurse | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1437769486 | Margaret Mailloux Scheurer | Counselor | 4401 Park Rd, Ann Arbor, MI 48103-9508 | 2020-08-05 |
| 1689220014 | Rachel Anna Stewart | Counselor | 3830 Packard St Ste 160, Ann Arbor, MI 48108-2357 | 2019-08-12 |
| 1720630924 | Sarah Trumble Noda | Counselor | 1443 Marlborough Dr, Ann Arbor, MI 48104-6220 | 2019-07-09 |
| 1619415619 | Linda Ohl | Counselor | 5086 Abingdon Cir, Ann Arbor, MI 48108-5930 | 2017-02-09 |
| 1205287133 | Rita Louise Morris | Counselor | 1900 W Stadium Blvd Ste 2, Ann Arbor, MI 48103-7008 | 2016-06-22 |
| 1316391600 | Margaret Kelley | Counselor | 6360 Jackson Rd Ste A, Ann Arbor, MI 48103-7801 | 2016-04-22 |
| 1437522836 | Alyssa Alfieri | Counselor | 3032 Cloverly Ln, Ann Arbor, MI 48108-3083 | 2015-11-06 |
| 1497126791 | Amanda Ann Beck | Counselor | 4836 Washtenaw Ave, C7, Ann Arbor, MI 48108-3430 | 2015-10-13 |
| 1164849626 | Thomas Tsai | Counselor | 1917 Boulder Dr, Ann Arbor, MI 48104-4165 | 2014-03-23 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on NICOLE E SKYLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.