Individual provider Active NPI

Roger Eichman, M.S., L.P.

  • Clinical Psychologist
  • Rochester, MN
National Provider Identifier
1093711616
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP0488 Issued in MN
Practice address
1027 7TH St NW
Ste 1
Rochester, MN 55901-2666
Phone
(507) 288-5675
Fax
(507) 288-4240
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP0488 MN Primary
Psychologist 103T00000X LP0488 MN

Addresses

Primary practice location

1027 7TH St NW
Ste 1
Rochester, MN 55901-2666

Mailing address

1027 7TH St NW Ste 1
Rochester, MN 55901-2666
Phone (507) 288-5675

Other identifiers 2

IdentifierTypeStateIssuer
3D698EIOtherMNBC/BS
229248300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000134 MN Practitioner - Psychologist Billing Independently 1456249390 Practice locations: Rochester, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0488MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Eichman Psychologist PastSince Jan 31, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1093711616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 7TH ST NW STE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012666",
            "telephone_number": "507-288-5675",
            "fax_number": "507-288-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 7TH ST NW",
            "address_2": "STE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012666",
            "telephone_number": "507-288-5675",
            "fax_number": "507-288-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHMAN",
        "first_name": "ROGER",
        "credential": "M.S., L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0488",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "3D698EI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229248300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.