NPI Code Detail JSON Logo

1699196923 NPI number — EMILY JO SCHULTZ PSYD.

NPI Number: 1699196923
Health Care Provider/Practitioner: EMILY JO SCHULTZ PSYD.

Information about “1699196923” NPI (EMILY JO SCHULTZ PSYD.) exists in 1699196923 in HTML format HTML  |  1699196923 in plain Text format TXT  |  1699196923 in PDF (Portable Document Format) PDF  |  1699196923 in an XML format XML  formats.

NPI Number : 1699196923 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699196923",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULTZ",
    "FirstName": "EMILY",
    "MiddleName": "JO",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZILLMER",
    "OtherFirstName": "EMILY",
    "OtherMiddleName": "JO",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "N6594 DEXTER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HORICON",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53032-1748",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-344-4489",
    "MailingAddressFaxNumber": "920-643-2003",
    "FirstLinePracticeLocationAddress": "N6594 DEXTER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HORICON",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53032-1748",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-344-4489",
    "PracticeLocationAddressFaxNumber": "920-643-2003",
    "EnumerationDate": "01/06/2014",
    "LastUpdateDate": "02/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "3320-57",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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