Gregg A Eichenfield, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0229 Issued in MN

Practice address

235 Fairview Ave S
Saint Paul, MN 55105-1551

Phone

(651) 659-9715

Fax

(651) 603-8528

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Fairview Health Services

  dba Fairview Hospital University

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  dba Fairview Emergency Medical Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD
• Fairview Health Services

  • Hospitalist Physician
  • Burnsville, MN
  • NPI 1952499444
  NPD
• Shoshana Center for Reproductive Health Psychology, PLLC

  dba Shoshana Center

  • Health Psychologist
  • Saint Paul, MN
  • NPI 1689120123
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1609942689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 IGLEHART AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043522",
            "telephone_number": "651-659-9715",
            "fax_number": "651-603-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FAIRVIEW AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051551",
            "telephone_number": "651-659-9715",
            "fax_number": "651-603-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENFIELD",
        "first_name": "GREGG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264053800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augustina O Egwim, ETC
• Amy Egyhazi
• Stacey M Ehlers-Millett, R.N., C.N.P.
• Amanda Louise Ehret, PA-C
• Richard Charles Ehrmanntraut, D.D.S.
• Knut Eichhorn, MB BCH
• Sheila Jane Eichmann, CCC-SLP
• Anne Catherine Eichmeyer, LICSW
• Courtney Eickelberg
• Teresa Eide

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.