NPIMap

Organization Active NPI

Emily Program P C

  • Community/Behavioral Health Agency
  • Altoona, WI
National Provider Identifier
1386338184
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMILY PROGRAM P C
Doing business as
THE EMILY PROGRAM
Practice address
1476 Blazing Star Blvd
Altoona, WI 54720-2863
Phone
(888) 364-5977
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Meredith Trudgeon
Title
Credentialing Manager
Phone
(888) 364-5977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1476 Blazing Star Blvd
Altoona, WI 54720-2863

Mailing address

1295 Bandana Blvd N Ste 210
Saint Paul, MN 55108-5115
Phone (866) 364-5977

Other names 1

  • THE EMILY PROGRAM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emily Program P C9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1386338184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BANDANA BLVD N STE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085115",
            "telephone_number": "866-364-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 BLAZING STAR BLVD",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202863",
            "telephone_number": "888-364-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY PROGRAM P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-05-30",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "TRUDGEON",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "888-364-5977"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE EMILY PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.