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).
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 |
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 |
Street Address |
1438 S GRAND BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63104-1027 |
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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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 |
Find all providers in zip 63104 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63104 |
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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.