ERICA ECCLES-RADTKE (NPI# 1073792008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073792008 |
| Entity Type | Individual |
| Full Name | ERICA ECCLES-RADTKE |
| Credential | PSY.D. |
| Practice Address |
5625 Cenex Dr Mail Stop 33100a Inver Grove Heights MN 55077-1724 |
| Mailing Address |
8170 33rd Ave S - Po Box 1309 Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6515522600 |
| Practice Fax Number | 6515522614 |
| Mailing Telephone | 6515522600 |
| Mailing Fax Number | 6515522614 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2015-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP 5562 | MN | Behavioral Health & Social Service Providers |
| Street Address |
5625 CENEX DR MAIL STOP 33100A |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55077-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333666 | Margaret L Breslin | Psychologist | 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1735 | 2006-02-02 |
| 1396245668 | Kristina Baker | Physician Assistant | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2018-02-13 |
| 1447792957 | Allison Doran | Physician Assistant | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2016-11-15 |
| 1619350006 | Katherine Rose Vaughan | Dentist | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2015-07-02 |
| 1366822587 | Andrea Elizabeth Larson | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-06-03 |
| 1922485598 | Elizabeth Price | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-05-01 |
| 1962894683 | Michelle De Fazio | Dentist | 5625 Cenex Dr, Healthpartners Inver Grove Heights Dental, Inver Grove Heights, MN 55077-1724 | 2015-03-04 |
| 1811316730 | Abdirizak Nuno | Psychiatry & Neurology | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2014-04-08 |
| 1245667633 | Jillian Elise Holtz Damron | Counselor | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2013-10-01 |
| 1184063968 | Katie Marie Lewis | Social Worker | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2013-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194229 | Suite Living Senior Care of Inver Grove Heights | Assisted Living Facility | 7900 Austin Way, Inver Grove Heights, MN 55077 | 2020-05-05 |
| 1801325402 | Marnie Tuenge | Counselor | 4890 Ashley Lane, 301, Inver Grove Heights, MN 55077 | 2017-06-07 |
| 1104172576 | Amanda Lefler | Pharmacist | 7841 Amana Trail, Inver Grove Heights, MN 55077 | 2012-08-03 |
| 1568743474 | Jw Advantage Care, LLC | Home Health | 1870- 50th Street E., Suite 7, Inver Grove Heights, MN 55077 | 2011-09-06 |
| 1255625737 | Greathomemn | Assisted Living Facility | 8668 A;lvarado Court, Inver Grove Heights, MN 55077 | 2011-06-02 |
| 1760794580 | Inver Grove Heights Wp II, LLC | Alzheimer Center (Dementia Center) | 9058 Buchanan Trail, Inver Grove Heights, MN 55077 | 2010-07-09 |
| 1083847610 | Inverwood Senior Living LLC | Assisted Living Facility | 7260 So. Robert Trail, Inver Grove Heights, MN 55077 | 2009-08-31 |
| 1205841434 | Walgreen Co | Pharmacy | 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 | 2006-07-29 |
| 1023420437 | Brittany Marie Bergstedt | Pharmacist | 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 | 2014-05-20 |
| 1225315302 | Gregory Schuur | Pharmacist | 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 | 2011-11-03 |
| Find all providers in zip 55077 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1518168111 | Lynda Kay Borchers | Psychologist | 2346 78th Street East, Inver Grove Heights, MN 55076-2818 | 2007-05-30 |
| 1013002583 | Michael Ward | Psychologist | 6775 Cahill Ave, Inver Grove Heights, MN 55076 | 2006-10-03 |
| 1558333666 | Margaret L Breslin | Psychologist | 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1735 | 2006-02-02 |
| 1033374038 | Paul W Heideman | Psychologist | 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1724 | 2008-07-20 |
| 1396759585 | Stacey Junghans | Psychologist | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2006-07-27 |
| 1629093380 | Daniel Thomason | Psychologist | 5565 Blaine Ave, Inver Grove Heights, MN 55076 | 2006-07-13 |
| 1700852852 | Marc C Schiappacasse | Psychologist | 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1735 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| 1073161220 | Jeffrey Paul Olsen | Psychologist | 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55077 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.