Provider Demographics
NPI:1255398541
Name:SCHILLING, RAE J (PHD, PSYD)
Entity type:Individual
Prefix:DR
First Name:RAE
Middle Name:J
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:PHD, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 NEWTON ST
Mailing Address - Street 2:STE. 204
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-3812
Mailing Address - Country:US
Mailing Address - Phone:715-225-1259
Mailing Address - Fax:715-514-4008
Practice Address - Street 1:914 PORTER AVE SUITE 2
Practice Address - Street 2:PORTER PLACE
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-0814
Practice Address - Country:US
Practice Address - Phone:715-225-1259
Practice Address - Fax:715-514-4008
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1783057103TF0000X
WI64124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6176078OtherUBH
MN637871026342OtherPREFERRED ONE
MNHP42692OtherHEALTH PARTNERS
WI27624OtherSECURITY HEALTH PLAN
WI39230200Medicaid
MN6176078OtherMEDICA
MN6176078OtherUHC
MN8HO11SCOtherBCBS MN
MN637871026342OtherPREFERRED ONE