IMPACT PSYCHOLOGY PLLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1164923843

IMPACT PSYCHOLOGY PLLC is a healthcare provider. based in Minneapolis, Minnesota. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The organization holds a License No. LP5825 (MN). The NPI Number for IMPACT PSYCHOLOGY PLLC is 1164923843

Main info

Organization
Name
IMPACT PSYCHOLOGY PLLC
NPI
1164923843
Phone
(651) 235-5170
Address
6958 W 84TH ST
Authorized Official
DR. JASON ECKERMAN CLINICAL PSYCHOLOGIST PSYD
Enumeration Date
27 February 2018
Last Update Date
27 February 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for IMPACT PSYCHOLOGY PLLC

  • 6958 W 84TH ST

    MINNEAPOLIS, MN 554381159

    Phone: (651) 235-5170

    Type: Mailing

  • The Reserve, 724, Bielenberg Drive, Woodbury, Washington County, Minnesota, 55125, United States

    SUITE 4

    WOODBURY, MN 551255512

    Phone: (651) 204-4034

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55438)

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Reviews

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Frequently asked questions

How is IMPACT PSYCHOLOGY PLLC identified in CMS data?
CMS-hosted NPPES data lists IMPACT PSYCHOLOGY PLLC with NPI 1164923843.
Does CMS list IMPACT PSYCHOLOGY PLLC as active?
Yes — IMPACT PSYCHOLOGY PLLC is active in the NPI listing used on this page.
What is IMPACT PSYCHOLOGY PLLC's specialty?
The listing groups IMPACT PSYCHOLOGY PLLC with Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
What address line appears for IMPACT PSYCHOLOGY PLLC?
IMPACT PSYCHOLOGY PLLC's geographic hint is Minneapolis, Minnesota in our summary view.
Is the information about IMPACT PSYCHOLOGY PLLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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