Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Skylar Callum Rossy, ACSW, PPSC

Individual provider Mental Health Counselor · NPI 1043742091

Mr. Skylar Callum Rossy, ACSW, PPSC is a Mental Health Counselor in Oakland, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 613-0330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2011 P St, Sacramento, CA 95811-5225 — (916) 234-3092

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117987 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 117987 (CA)

Record details

NPI number1043742091
Entity typeIndividual (Type 1)
GenderMale
Credentials ACSW , PPSC
Sole proprietorYes
NPI enumeratedMarch 29, 2017
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

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