NPIMap

Organization Active NPI

Roger Eichman

  • Psychologist
  • Rochester, MN
National Provider Identifier
1205833852
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP0488 Issued in MN
Legal business name
ROGER EICHMAN
Doing business as
Center for Effective Living
Practice address
1027 7TH St NW
Lexington Building Suite 1
Rochester, MN 55901-2666
Phone
(507) 288-5675
Fax
(507) 288-4240
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Roger D Eichman, MS LPNPI 1093711616
Title
Director Owner
Phone
(507) 288-5675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X LP0488 MN Primary

Addresses

Primary practice location

1027 7TH St NW
Lexington Building Suite 1
Rochester, MN 55901-2666

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
39231EIOtherMNBC/BS
120286300MedicaidMN

Other names 1

  • Center for Effective Living Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
    "last_updated_epoch": "1213920000000",
    "number": "1205833852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 7TH ST NW",
            "address_2": "LEXINGTON BUILDING SUITE 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": "LEXINGTON BUILDING SUITE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012666",
            "telephone_number": "507-288-5675",
            "fax_number": "507-288-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER EICHMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "EICHMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "507-288-5675",
        "authorized_official_credential": "MS LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "39231EI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120286300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Effective Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.