Individual provider Active NPI

Emily Schurman

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1780175588
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1810 Craig Rd Ste 109
Saint Louis, MO 63146-4758
Phone
(800) 780-6545
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X MO Primary

Addresses

Primary practice location

1810 Craig Rd Ste 109
Saint Louis, MO 63146-4758

Mailing address

1017 Clark Dr
Fenton, MO 63026-5043
Phone (314) 277-4494

Other practice location 1

16375 Pierside Ln
Wildwood, MO 63040-1600
Phone (636) 405-2701

Other identifiers 1

IdentifierTypeStateIssuer
730066518MedicaidMO

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Milestones Behavior Services and Consultation LLC Behavior Analyst CurrentSince Aug 28, 2021 Accepting new patients
Judevine, Inc. Past Accepting new patients
Howard Park Early Intervention Center PastSince Mar 12, 2023 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1780175588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CLARK DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265043",
            "telephone_number": "314-277-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CRAIG RD STE 109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464758",
            "telephone_number": "800-780-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16375 Pierside Ln",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "MO",
            "postal_code": "630401600",
            "country_code": "US",
            "telephone_number": "636-405-2701",
            "fax_number": "636-422-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHURMAN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730066518",
            "state": "MO"
        }
    ],
    "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 Mar 15, 2021; 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.