Jeremy Shuman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2016037822 Issued in MO

Practice address

10845 Olive Blvd Ste 150
Saint Louis, MO 63141-7760

Phone

(314) 561-9757

NPI assigned

Aug 2, 2013

Last updated

Nov 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Mindfulness and CBT LLCGroup PAC ID 9032492111, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Center for Mindfulness and CBT, LLC

  • Cognitive & Behavioral Psychologist
  • Saint Louis, MO
  • NPI 1013267392
  Medicare reassignment Care Compare group NPD
• Jeremy Shuman, LLC

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1013453976
  NPD (past) Authorized official
• The Center for Mindfulness and CBT, LLC

  • Community Health Clinic/Center
  • Saint Louis, MO
  • NPI 1154241271
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1881026607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 OLIVE BLVD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417760",
            "telephone_number": "314-561-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 OLIVE BLVD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417760",
            "telephone_number": "314-561-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2016037822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Miller Shuldberg, D.O.
• Ashley Marie Shulman, DNP-CRNA
• Megan Elizabeth Shultz, MA LPC
• Melissa Frances Shultz, CRNA
• William Shultz, M.D.
• John Edwin Shuman, PA
• Robert B Shuman, M.D.
• Sherry Shuman
• Kaitlen Nicole Shumate, PHARM.D.
• Krista Shumate

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.