DR. EVAN TI SCHULZE


Address: 1438 S Grand Blvd, Saint Louis, MO 63104-1027
Phone: 3149774807

DR. EVAN TI SCHULZE (NPI# 1366910572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366910572
Entity Type Individual
Full Name DR. EVAN TI SCHULZE
Credential PHD
Practice Address 1438 S Grand Blvd
Saint Louis
MO 63104-1027
Practice Telephone 3149774807
Mailing Telephone 3149774807
Enumeration Date 2018-11-06
Last Update Date 2018-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 071.009843 IL Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist 2018033374 MO Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
071.009843 IL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
2018033374 MO Behavioral Health & Social Service Providers

Office Location

Street Address 1438 S GRAND BLVD
City SAINT LOUIS
State MO
Zip Code 63104-1027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801869136 St Louis University Psychiatry & Neurology 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2006-02-08
1477181071 Kevin Chacko Varghese Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-30
1609404201 Allison Montgomery Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-30
1457989055 Marissa Alexandra Hirsch Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-30
1366070963 Rajat Duggirala Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-30
1275161879 Ellen Kim Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-30
1184252785 Derek Wayne Brown Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-30
1619505591 Farid Khasiyev Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-27
1578190393 Kelsey Roberts Psychiatry & Neurology 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2020-03-23
1457912230 Katherine Mcarthur Student in an Organized Health Care Education/Training Program 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2019-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144873159 Stephanie Ross Potts Clinical Neuropsychologist 1027 Bellevue Ave Ste 142, Saint Louis, MO 63117-1851 2019-07-18
1508259003 Maria Catherine Rothhaar Clinical Neuropsychologist 522 N New Ballas Rd Ste 121, Saint Louis, MO 63141-6820 2015-03-09
1689852253 Stacey Woodrome Clinical Neuropsychologist 3800 Park Ave Fl 2, Saint Louis, MO 63110-2514 2008-02-06
1700802022 Nicole J Werner Clinical Neuropsychologist 4444 Forest Park Ave Fl 2, 2nd Fl, Saint Louis, MO 63108-2212 2006-07-14
1477539237 Rehab Care Group East Inc Clinical Neuropsychologist 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 2005-12-22
1912374398 Victoria Herberger Clinical Neuropsychologist 615 S New Ballas Rd, Mercy Neuropsychology Service, Saint Louis, MO 63141-8221 2015-09-01
1013317700 Christopher Bosworth Clinical Neuropsychologist 1 Childrens Pl, Suite 3n-14, Saint Louis, MO 63110-1002 2014-08-29
1871929687 Gabriel Araujo Clinical Neuropsychologist 1 Childrens Pl, Suite 3 South 32, Saint Louis, MO 63110-1002 2013-09-25
1861771206 Phillip D. Ruppert Clinical Neuropsychologist 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2011-08-16
1992093447 Angela Nicole Capps Clinical Neuropsychologist 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2011-07-19
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Competitor

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City SAINT LOUIS
Zip Code 63104

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Dataset Information

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.

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