Impact Psychology PLLC
NPI 1164923843 · Mental Health Clinic/Center (Including Community Mental Health Center) · Woodbury, MN
Impact Psychology PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Woodbury, MN (NPI 1164923843).
Provider details
- NPI number
- 1164923843
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Eckerman, Clinical Psychologist(651) 204-4034
- License
- LP5825 (MN)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense LP5825 (MN)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2018-02-27
Frequently asked questions
- What is Impact Psychology PLLC's NPI number?
- Impact Psychology PLLC's National Provider Identifier (NPI) is 1164923843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Psychology PLLC?
- Impact Psychology PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Impact Psychology PLLC located?
- Impact Psychology PLLC's practice location on file with NPPES is 724 Bielenberg Drive, Woodbury, MN 55125-5512.
- What is Impact Psychology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Psychology PLLC is (651) 204-4034.
- Who is the authorized official for Impact Psychology PLLC?
- The authorized official listed on Impact Psychology PLLC's NPPES record is Jason Eckerman, Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Psychology PLLC's NPI active?
- Yes — Impact Psychology PLLC's NPI (1164923843) is active in the NPPES registry as of the last update on 2018-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.