THE EMILY PROGRAM (NPI# 1649309246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649309246 |
| Entity Type | Organization |
| Organization Name | THE EMILY PROGRAM |
| Other Organization Name | ANNA WESTIN HOUSE |
| Practice Address |
1449 Cleveland Ave N Saint Paul MN 55108-1413 |
| Mailing Address |
2265 Como Avenue Suite 100 St. Paul MN 55108 |
| Practice Telephone | 6516455323 |
| Practice Fax Number | 6513288254 |
| Mailing Telephone | 6516455323 |
| Mailing Fax Number | 6516475135 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | DIRK MILLER (EXECUTIVE DIRECTOR / THERAPIST) |
| Authorized Official Telephone | 6513796111 |
| Authorized Official Credential | PH.D., L.P. |
| Is Organization Subpart | Y |
| Parent Organization Name | THE EMILY PROGRAM |
| 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 |
|---|---|
| Anna Westin House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150845 | The Emily Program | Community/Behavioral Health | 2020 E 29th Ave, Spokane, WA 99203-3917 | 2015-12-01 |
| 1508247040 | The Emily Program | Clinic/Center | 2009 Mackenzie Way, Suite 100, Cranberry Township, PA 16066-5338 | 2015-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE EMILY PROGRAM, P.C. | 2265 Como Ave, Saint Paul, MN 55108-1737 |
| Street Address |
1449 CLEVELAND AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356992 | Jessica Wetzel | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2020-11-03 |
| 1912529470 | Devon Elizabeth Paulsen | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2020-05-07 |
| 1447801527 | Jillian Vollbrecht | Student in an Organized Health Care Education/Training Program | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2019-09-20 |
| 1487154720 | Kara A Haugen | Social Worker | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2018-02-13 |
| 1356859201 | Alyssa Rae Sickmann | Student in an Organized Health Care Education/Training Program | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2018-01-12 |
| 1316495914 | Sydney Erickson | Psychologist | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2016-09-13 |
| 1447603667 | Melanie Ann Roubik | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2016-07-22 |
| 1609248335 | Megan Mcqueen-stewart | Specialist | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2015-10-21 |
| 1215308747 | Hayley M Wandell | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2015-10-09 |
| 1588098834 | Leah Neff | Social Worker | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2013-08-22 |
| 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 |
| 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 |
| 1083906994 | Emily Program PC | Community Based Residential Treatment Facility, Mental Illness | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2011-05-11 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on THE EMILY PROGRAM.
| 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.