Emily Rademan, PSY.D
Individual provider Active NPI Clinical Psychologist · Springtown, TX
NPI 1861746729 · NPPES record last updated Nov 3, 2024
Key facts
- NPI
- 1861746729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY.0004289 (CO)
- Practice address
- 156 Spring Meadow Dr
Springtown, TX 76082-1140 - Phone
- (719) 357-6462
- Fax
- (719) 203-4485
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012037392 | MO | MD | Professional Counselor |
| PSY.0004289 | CO | MD | Clinical Psychologist |
| 40355 | TX | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0004289 | CO | Yes |
| Professional Counselor | 101YP2500X | 2012037392 | MO |
Addresses
Primary practice location
156 Spring Meadow Dr
Springtown, TX 76082-1140
Mailing address
156 Spring Meadow Dr
Springtown, TX 76082-1140
Phone (719) 357-6462
Other providers in Springtown, TX
- Stephanie Parker
- Kushal Patel
- Peak Mind Consulting
- Yvonne Denise Pineda
- Lawra Pray
- Luisa Ramirez Olvera
- Keeley Ray
- Rehab Mobility LLC
- Rehab Mobility PLLC
- Adrienne Krystyn Rodriguez
All providers in Springtown, TX · Clinical Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.