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Active NPI 1861119687 Individual Practitioner Male Practitioner

Jacob Skillern

Licensed Psychiatric Technician • Merced, CA

Professional Overview & Biography Verified Profile Summary

Jacob Skillern is a registered healthcare professional specializing in Licensed Psychiatric Technician in Merced, CA. Practice services are available at 301 E 13TH ST STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 E 13th St Ste D

Merced, CA 953416211

Telephone 2093861096
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Psychiatric Technician in Merced, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Merced, CA (2427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-23
Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License CA 40357

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Albert Falley , LVN

Licensed Vocational Nurse

NPI 1003221722

Licensed Vocational Nurse

Maya Williams

Counselor

NPI 1003317884
Ashmin Raj

Day Training/Habilitation Specialist

NPI 1003763640
NPI 1013571629
Rosalinda Flores

Day Training/Habilitation Specialist

NPI 1013580893
Cynthia Grijalva

Licensed Vocational Nurse

NPI 1023679388

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 23, 2025

Registered at 301 E 13TH ST STE D, MERCED, CA 953416211 (Tel: 2093861096)

📍
Updated Business Mailing Address February 23, 2025

Registered at 3433 W SHAW AVE STE 108, FRESNO, CA 937113229 (Tel: 5955584051)

NPI Profile Active October 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2022

Registered at 1904 RICHLAND AVE, CERES, CA 953074562 (Tel: 2093008800)

📍
Updated Business Mailing Address October 24, 2022

Registered at 2530 DEBORAH LN, STOCKTON, CA 952066412 (Tel: 2093906486)

👤
Provider Name / Credentials Updated October 24, 2022

Recorded as JACOB SKILLERN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2022

Licensed Psychiatric Technician (License #40357 in CA)

🟢
Initial NPI Registration & Enumeration October 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861119687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2022
Last Update: February 23, 2025
Sole Proprietor: No

Mailing Address

3433 W Shaw Ave Ste 108

Fresno, CA 937113229

Phone: 5955584051

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.