Individual provider Active NPI

Emily Jo Schultz, PSYD.

  • Clinical Psychologist
  • Horicon, WI
National Provider Identifier
1699196923
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3320-57 Issued in WI
Practice address
N6594 Dexter Rd
Horicon, WI 53032-1748
Phone
(920) 344-4489
Fax
(920) 643-2003
NPI assigned
Jan 6, 2014
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3320-57 WI Primary

Addresses

Primary practice location

N6594 Dexter Rd
Horicon, WI 53032-1748

Mailing address

N6594 Dexter Rd
Horicon, WI 53032-1748
Phone (920) 344-4489

Other names 1

  • Dr. Emily Jo Zillmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000048 WI Practitioner - Clinical Psychologist 2062714975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N6594 Dexter Rd
Horicon, WI 53032-1748
Phone (920) 212-0464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3320-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Sanctuary, LLC Clinical CurrentSince Feb 22, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1699196923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6594 DEXTER RD",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321748",
            "telephone_number": "920-344-4489",
            "fax_number": "920-643-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6594 DEXTER RD",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321748",
            "telephone_number": "920-344-4489",
            "fax_number": "920-643-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "EMILY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3320-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ZILLMER",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "PSYD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Horicon, WI

Sources for this page

Verify at the official NPI Registry.