Eichenhofer Psychological Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2989-123 Issued in WI

Legal business name

EICHENHOFER PSYCHOLOGICAL SERVICES

Practice address

1035 W Glen Oaks LN
Suite 204
Mequon, WI 53092-3392

Phone

(262) 241-1515

Fax

(262) 241-4530

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David John Eichenhofer Jr., PH.D.

Title

Psychologist

Phone

(262) 241-1515

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1619257045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W GLEN OAKS LN",
            "address_2": "SUITE 204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923392",
            "telephone_number": "262-241-1515",
            "fax_number": "262-241-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W GLEN OAKS LN",
            "address_2": "SUITE 204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923392",
            "telephone_number": "262-241-1515",
            "fax_number": "262-241-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICHENHOFER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "EICHENHOFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-241-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1457-57",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2989-123",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "308-124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halie Ecker, MS, LPC, SAC, PMH-C
• Isabella Eckert
• Julie L Educate, LPC
• Educates
• Kara S Eggold
• David J Eichenhofer Jr., PHD
• Rose Eichenhofer, LCSW
• Mikhail Eiseler, DO
• Carl S L Eisenberg, MD
• Drew M Elgin, M.D.

• Clinical Social Worker in Mequon, WI
• Providers in Mequon, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.