EMILY PROGRAM PC (NPI# 1083906994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083906994 |
| Entity Type | Organization |
| Organization Name | EMILY PROGRAM PC |
| Other Organization Name | THE EMILY PROGRAM |
| Practice Address |
2230 Como Ave Saint Paul MN 55108-1720 |
| Mailing Address |
2265 Como Ave Saint Paul MN 55108-1737 |
| Practice Telephone | 6516455323 |
| Mailing Telephone | 6516455323 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | MR. DIRK A MILLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6516455323 |
| Authorized Official Credential | PHD, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Emily Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528165065 | Emily Program PC | Clinic/Center | 2265 Como Avenue, Suite 100, St Paul, MN 55108 | 2006-09-19 |
| 1154696698 | Emily Program PC | Community/Behavioral Health | 1700 Westlake Ave N, Suite 650, Seattle, WA 98109-3012 | 2012-03-16 |
| Street Address |
2230 COMO AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841204989 | Brian Stawarz | Psychologist | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2006-07-27 |
| 1568069532 | Rachel Ruth Onusko | Student in an Organized Health Care Education/Training Program | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2020-10-02 |
| 1265044390 | Elsie Ann Myers | Dietitian, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2020-08-19 |
| 1962014209 | Ashley Annette Snoke | Dietitian, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2020-08-18 |
| 1053920041 | Anna Catherine Bishop | Dietitian, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2020-07-27 |
| 1295359727 | Lacey Raser | Dietitian, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2020-06-01 |
| 1356992838 | Abigail Hough | Counselor | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2019-09-25 |
| 1427608579 | Emma Margaret Lankey | Dietitian, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2019-09-19 |
| 1669021671 | Emily M Vanderbrink | Dietitian, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2019-09-11 |
| 1336797687 | Emileah Most | Marriage & Family Therapist | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837560 | Journey of Hope Community Housing LLC | Community Based Residential Treatment Facility, Mental Illness | 761 Case Ave, Saint Paul, MN 55106-3705 | 2020-06-30 |
| 1366005696 | Armando Cavazos | Community Based Residential Treatment Facility, Mental Illness | 84 Wabasha St S Apt 330, Saint Paul, MN 55107-1856 | 2019-04-22 |
| 1578958419 | 180 Degrees, Inc | Community Based Residential Treatment Facility, Mental Illness | 1281 7th St E, Saint Paul, MN 55106-4039 | 2015-03-30 |
| 1558544965 | Rhsc Inc. | Community Based Residential Treatment Facility, Mental Illness | 487 Grand Ave, #10, Saint Paul, MN 55102 | 2007-12-07 |
| 1740462969 | St Paul Como Community Unit | Community Based Residential Treatment Facility, Mental Illness | 690 Como Ave, Saint Paul, MN 55103-1436 | 2007-11-29 |
| 1780702878 | People Incorporated | Community Based Residential Treatment Facility, Mental Illness | 1100 Hancock St, Saint Paul, MN 55106-5336 | 2007-03-27 |
| 1649309246 | The Emily Program | Community Based Residential Treatment Facility, Mental Illness | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2007-03-02 |
| 1831254408 | Theodore I | Community Based Residential Treatment Facility, Mental Illness | 1314 Livingston Ave, Saint Paul, MN 55118-2409 | 2006-12-26 |
| 1306460324 | People Incorporated | Community Based Residential Treatment Facility, Mental Illness | 700 8th St E, Saint Paul, MN 55106-4414 | 2020-06-05 |
| 1952846107 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 700 Transfer Rd, Saint Paul, MN 55114-1420 | 2016-12-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
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| 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.