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Impact Psychology Pllc

Mental Health Clinic/Center (Including Community Mental Health Center) in Woodbury, MN · enumerated 2018 · authorized official Jason Eckerman, Clinical Psychologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164923843

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Psychology Pllc
Practice address 724 Bielenberg Drive, Suite 4, Woodbury, MN, 55125
Enumeration date Feb 27, 2018
Last updated in NPPES Feb 27, 2018

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License LP5825 (MN) Primary

Authorized official

Name Jason Eckerman
Title Clinical Psychologist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Impact Psychology Pllc?
NPPES lists Jason Eckerman (Clinical Psychologist) as the authorized official for this organization.
What is the NPI number for Impact Psychology Pllc?
The NPI for Impact Psychology Pllc is 1164923843, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-27.