NPIMap

Organization Active NPI

Jeremy Shuman, LLC

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1013453976
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2016037822 Issued in MO
Legal business name
JEREMY SHUMAN, LLC
Practice address
10845 Olive Blvd Ste 150
Saint Louis, MO 63141-7760
Phone
(314) 561-9757
NPI assigned
Jan 16, 2017
Last updated
Jan 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeremy Shuman, PSYDNPI 1881026607
Title
Owner
Phone
(314) 561-9757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2016037822 MO Primary

Addresses

Primary practice location

10845 Olive Blvd Ste 150
Saint Louis, MO 63141-7760

Mailing address

10845 Olive Blvd Ste 150
Saint Louis, MO 63141-7760
Phone (314) 561-9757

National Provider Directory

National Provider Directory

Locations

10845 Olive Blvd
Ste 150
Saint Louis, MO 63141
Phone (314) 561-9757

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1013453976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 OLIVE BLVD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417760",
            "telephone_number": "314-561-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 OLIVE BLVD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417760",
            "telephone_number": "314-561-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY SHUMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-561-9757",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2016037822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.