THE EMILY PROGRAM
NPI 1083906994
Community Based Residential Treatment Facility, Mental Illness in Saint Paul, MN

Q: What is the provider's specialty?

The provider's specialty is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since May 11, 2011CLIA Certified · 2 labs

2230 COMO AVE, SAINT PAUL, MN 55108(651) 645-5323 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About The Emily Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE EMILY PROGRAM (NPI 1083906994) is a healthcare organization registered as a community based residential treatment facility, mental illness in Saint Paul, Minnesota and active in the NPI registry since May 2011. The organization holds 2 active CLIA laboratory certificates and lists Dirk A Miller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083906994

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameEMILY PROGRAM PC

Location Address2230 COMO AVESaint Paul, MN 55108-1720

Mailing Address2265 Como AveSaint Paul, MN 55108-1737 · (651) 645-5323

Phone(651) 645-5323

Organization SubpartNo

Authorized OfficialDirk A MillerExecutive Director · (651) 645-5323

Enumeration DateMay 11, 2011

Last NPPES UpdateJanuary 22, 2021

NPPES CertifiedJanuary 22, 2021

✔ NPI 1083906994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2230 COMO AVE, Saint Paul, MN 55108

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Other Names 1

Doing Business AsThe Emily Program

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2007148

The Emily Program - Saint Paul, Como · Saint Paul, MN

Active · expires May 9, 2028

CLIA Number24D2007148

Laboratory TypeMental Health Clinic

Certificate Effective DateMay 10, 2026

Certificate Expiration DateMay 9, 2028

Laboratory DirectorMary Bretzman

Laboratory Phone(651) 645-5323

Laboratory LocationThe Emily Program - Saint Paul, Como2265 Como Avenue, Saint Paul, MN 55108

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2007149

The Emily Program - Saint Louis Park · Saint Louis Park, MN

Active · expires May 9, 2028

CLIA Number24D2007149

Laboratory TypeMental Health Clinic

Certificate Effective DateMay 10, 2026

Certificate Expiration DateMay 9, 2028

Laboratory DirectorMary Bretzman

Laboratory Phone(651) 645-5323

Laboratory LocationThe Emily Program - Saint Louis Park5354 Parkdale Drive, 2nd Floor, Saint Louis Park, MN 55416

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN STAWARZ M.A, LP, LMFT

Psychologist