Individual provider Active NPI

Rae J Schilling, PH.D, PSY.D.

  • Family Psychologist
  • Eau Claire, WI
National Provider Identifier
1255398541
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
1783057 Issued in WI
Practice address
914 Porter Ave Suite 2
Porter Place
Eau Claire, WI 54701-0814
Phone
(715) 225-1259
Fax
(715) 514-4008
NPI assigned
Apr 28, 2006
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 1783057 WI Primary
Marriage & Family Therapist 106H00000X 64124 WI

Addresses

Primary practice location

914 Porter Ave Suite 2
Porter Place
Eau Claire, WI 54701-0814

Mailing address

28 Newton St
Ste. 204
Eau Claire, WI 54701-3812
Phone (715) 225-1259

Other identifiers 8

IdentifierTypeStateIssuer
27624OtherWISECURITY HEALTH PLAN
6176078OtherMNMEDICA
8HO11SCOtherMNBCBS MN
39230200MedicaidWI
6176078OtherMNUHC
6176078OtherMNUBH
637871026342OtherMNPREFERRED ONE
HP42692OtherMNHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1783057WIMDFamily Psychologist
64124WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1255398541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NEWTON ST",
            "address_2": "STE. 204",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013812",
            "telephone_number": "715-225-1259",
            "fax_number": "715-514-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PORTER AVE SUITE 2",
            "address_2": "PORTER PLACE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547010814",
            "telephone_number": "715-225-1259",
            "fax_number": "715-514-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "RAE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D, PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "WI",
            "license": "1783057",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "64124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "27624",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6176078",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "8HO11SC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39230200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "6176078",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6176078",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "637871026342",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP42692",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.