Claude W. Eggertsen, PHD, PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

CLAUDE W. EGGERTSEN, PHD, PLLC

Practice address

288 S Main St
Ste. 1
Romeo, MI 48065-5133

Phone

(586) 752-0091

Fax

(586) 677-7809

NPI assigned

May 1, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claude W. Eggertsen, PHDNPI 1235157512

Title

President, Owner

Phone

(586) 752-0091

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claude Wakefield Eggertsen, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Romeo, MI
  • NPI 1235157512
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861613887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480940747",
            "telephone_number": "586-752-0091",
            "fax_number": "596-677-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S MAIN ST",
            "address_2": "STE. 1",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655133",
            "telephone_number": "586-752-0091",
            "fax_number": "586-677-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDE W. EGGERTSEN, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EGGERTSEN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "586-752-0091",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Z Casey, M.D.
• Catherine Rowe-Lonczynski
• Chanda J Corbin, PLLC (Washington Foot and Ankle)
• Susan Chase, MA LLP
• Laura Clarkston
• Tara Clayfield, LLMSW
• Heidi A Coffman, LLC
• Rebecca Conry
• Chanda J Corbin, DPM
• Elizabeth Culberson

• Clinical Child & Adolescent Psychologist in Romeo, MI
• Providers in Romeo, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.