DR. JOHN ROBERT JR. SKINNER (PHD) – Clinical Psychologist, NPI 1609810092

DR. JOHN ROBERT JR. SKINNER (PHD) is a healthcare provider. based in Duncanville, Texas. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 2-3650 (TX). The NPI Number for DR. JOHN ROBERT JR. SKINNER (PHD) is 1609810092

Main info

Male
Sole Proprietor
39 Years Of Experience
Name
DR. JOHN ROBERT JR. SKINNER (PHD)
NPI
1609810092
Phone
(972) 298-8701
Address
307 SHOREWOOD DR
Enumeration Date
15 June 2006
Last Update Date
19 February 2010

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2145362570
Graduation Year
1987 (39 years ago)
PAC ID
2567490352
Professional Enrollment ID
I20050802001020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN ROBERT JR. SKINNER (PHD)

  • 307, Shorewood Drive, Duncanville, Dallas County, Texas, 75116, United States

    DUNCANVILLE, TX 751163632

    Phone: (972) 298-8701

    Fax: (972) 709-5786

    Type: Mailing

  • 508, Grace Street, Waxahachie, Ellis County, Texas, 75165, United States

    WAXAHACHIE, TX 751653046

    Phone: (714) 536-2570

    Fax: (972) 709-5786

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050802001020IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75116)

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Reviews

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Frequently asked questions

What is the registry number for DR. JOHN ROBERT JR. SKINNER (PHD)?
The registry entry for DR. JOHN ROBERT JR. SKINNER (PHD) shows NPI 1609810092.
Should I treat DR. JOHN ROBERT JR. SKINNER (PHD) as an active provider?
Patients and plans typically see DR. JOHN ROBERT JR. SKINNER (PHD) as active in the national extract.
What type of care does DR. JOHN ROBERT JR. SKINNER (PHD) provide?
DR. JOHN ROBERT JR. SKINNER (PHD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JOHN ROBERT JR. SKINNER (PHD)?
The directory associates DR. JOHN ROBERT JR. SKINNER (PHD) with Duncanville, Texas. Check all listed addresses for suites or satellite offices.
Can I export DR. JOHN ROBERT JR. SKINNER (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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