JACOB SKELLY-BROWN (NPI# 1740583301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740583301 |
| Entity Type | Individual |
| Full Name | JACOB SKELLY-BROWN |
| Credential | MFT |
| Practice Address |
4660 Palm Ave San Diego CA 92154-8404 |
| Practice Telephone | 6196625418 |
| Mailing Telephone | 6196625418 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 52327 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4660 PALM AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366585432 | Kyra Marina Samson | Psychiatry & Neurology | 4660 Palm Ave, San Diego, CA 92154-8404 | 2007-02-15 |
| 1942867304 | Osiris Leon-comiskey | Counselor | 4660 Palm Ave, San Diego, CA 92154-8404 | 2019-05-21 |
| 1699339457 | James Patrick Clifford | Counselor | 4660 Palm Ave, San Diego, CA 92154-8404 | 2019-04-26 |
| 1790070159 | Julie Anne Lange | Psychiatry & Neurology | 4660 Palm Ave, Bldg 4, 2nd Floor, San Diego, CA 92154-8404 | 2011-06-14 |
| 1194030585 | Nanci Williams Newell | Social Worker | 4660 Palm Ave, San Diego, CA 92154-8404 | 2010-08-10 |
| 1821302514 | Kathleen Mary Carroll | Social Worker | 4660 Palm Ave, San Diego, CA 92154 | 2010-08-05 |
| 1114230026 | Leslee Levin | Social Worker | 4660 Palm Ave, San Diego, CA 92154-8404 | 2010-07-20 |
| 1952631350 | Michael Gene Schmitt | Physical Therapist | 4660 Palm Ave, San Diego, CA 92154-8404 | 2010-01-06 |
| 1235302043 | Lily Chiang | Psychiatry & Neurology | 4660 Palm Ave, Department of Psychiatry, Kaiser Permanente, San Diego, CA 92154-8404 | 2008-04-12 |
| 1417136433 | Gabriel T White | Psychiatry & Neurology | 4660 Palm Ave, San Diego, CA 92154-8404 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1114525995 | Bethany Minick | Marriage & Family Therapist | 940 56th St, San Diego, CA 92114-1714 | 2020-10-13 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on JACOB SKELLY-BROWN.
| 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.