ROBERT E. JOHNSON, LICENSED PSYCHOLOGIST
NPI 1235304981
Clinic/Center - Mental Health (Including Community Mental Health Center) in Roseville, MN
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About ROBERT E. JOHNSON, LICENSED PSYCHOLOGIST
This page provides the complete NPI Profile along with additional information for Robert E. Johnson, Licensed Psychologist, a provider established in Roseville, Minnesota operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1235304981 assigned on April 2008. The practitioner's primary taxonomy code is 261QM0801X with license number LP1796 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Robert E. Johnson, Licensed Psychologist. The authorized official of this NPI record is Mr. Robert Edward Johnson M.a., L.p. (Licensed Psychologist)
- NPI
- 1235304981 Verify this NPI
- Provider Legal Name
- ROBERT E. JOHNSON, INC.
- Other Organization Name
- ROBERT E. JOHNSON, LICENSED PSYCHOLOGIST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2579 HAMLINE AVE N SUITE D ROSEVILLE, MN 55113
- Location Phone
- (651) 628-0947
- Location Fax
- (651) 636-2922
- Mailing Address
- 2579 HAMLINE AVE N SUITE D ROSEVILLE, MN 55113
- Mailing Phone
- (651) 628-0947
- Mailing Fax
- (651) 636-2922
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2008
- Last Update Date
- 04-24-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- LP1796
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 099347600 | MEDICAID (05) | MN | |
| 1225134687 | OTHER (01) | MN | INDIVIDUAL NPI ALREADY ISSUED MEDICARE INFORMED US NEEDED GROUP ALSO |
| 620000282 | MEDICARE PIN (08) | MN |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235304981, enumerated as an "organization" on April 24, 2008.
The provider is located at 2579 HAMLINE AVE N SUITE D ROSEVILLE, MN 55113 and the phone number is (651) 628-0947.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
