IMPACT PSYCHOLOGY PLLC
NPI 1164923843
Clinic/Center - Mental Health (Including Community Mental Health Center) in Woodbury, MN

Active since February 27, 2018
724 BIELENBERG DRIVE, SUITE 4, WOODBURY, MN 55125(651) 204-4034 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Psychology Pllc NPPES

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

IMPACT PSYCHOLOGY PLLC (NPI 1164923843) is a healthcare organization registered as a mental health (including community mental health center) in Woodbury, Minnesota and active in the NPI registry since February 2018. The organization lists Jason Eckerman, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1164923843
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIMPACT PSYCHOLOGY PLLC
Location Address724 BIELENBERG DRIVE, SUITE 4Woodbury, MN 55125-5512
Mailing Address6958 W 84th StMinneapolis, MN 55438-1159 · (651) 235-5170
Organization SubpartNo
Authorized OfficialJason EckermanClinical Psychologist · (651) 204-4034
Enumeration DateFebruary 27, 2018
NPI 1164923843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in MN · LP5825
724 BIELENBERG DRIVE, Woodbury, MN 55125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Psychology PLLC's NPI number?

The NPI number for Impact Psychology PLLC is 1164923843. It was assigned to this organization in the NPPES registry on February 27, 2018.

Where is Impact Psychology PLLC located?

Impact Psychology PLLC is located at 724 Bielenberg Drive Suite 4, Woodbury, MN 55125. The listed phone number is (651) 204-4034.

What is Impact Psychology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Impact Psychology PLLC was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.