Active NPI
Keith David Eiche, PH.D.
- Clinical Psychologist
- Springfield, MO
National Provider Identifier
1609856483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001226
- Practice address
- 1850 W Republic Rd
Springfield, MO 65807-5730 - Phone
- (844) 501-8387
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001226 | AL | Primary |
Addresses
Primary practice location
1850 W Republic Rd
Springfield, MO 65807-5730
Mailing address
1850 W Republic Rd
Springfield, MO 65807-5730
Phone (844) 501-8387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50507 | Other | NATIONAL REGISTER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001226 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1609856483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075730",
"telephone_number": "844-501-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075730",
"telephone_number": "844-501-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHE",
"first_name": "KEITH",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "001226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTER NUMBER",
"identifier": "50507",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.