BRUCE EISENMENGER M.A., LP
NPI 1457370256
Psychologist in Roseville, MN

Active since July 19, 2006
1751 COUNTY ROAD B W STE 100, ROSEVILLE, MN 55113(651) 255-6954(651) 756-8914 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bruce Eisenmenger M.a., Lp NPPES

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

BRUCE EISENMENGER M.A., LP (NPI 1457370256) is an individual psychologist in Roseville, Minnesota, licensed in Minnesota (1882) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1457370256
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBRUCE EISENMENGERCredential: M.A., LP
Location Address1751 COUNTY ROAD B W STE 100Roseville, MN 55113-4037
Mailing Address7066 Stillwater Blvd NOakdale, MN 55128-3937 · (651) 777-5222 · Fax (651) 251-5111
Fax(651) 756-8914
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 19, 2017
NPI 1457370256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · 1882
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1751 COUNTY ROAD B W STE 100, Roseville, MN 55113

Other Identifiers 7

Other1015029MN · P1
Other133865MN · Cp
Other62-01186MN · Ubh
Other32Q54EIMN · Bcbs
Medicaid729325900MN
Other106264MN · Uc
Other18510MN · Hp

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
1751 COUNTY ROAD B W STE 100
ROSEVILLE, MN 55113
Social Worker (Clinical)
1751 COUNTY ROAD B W STE 100
ROSEVILLE, MN 55113
Chiropractor
1751 COUNTY ROAD B W STE 100
ROSEVILLE, MN 55113

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 Bruce Eisenmenger's NPI number?

The NPI number for Bruce Eisenmenger is 1457370256. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Bruce Eisenmenger located?

Bruce Eisenmenger practices at 1751 County Road B W Ste 100, Roseville, MN 55113. The listed phone number is (651) 255-6954.

What is Bruce Eisenmenger's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Bruce Eisenmenger was last updated on October 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.