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DR. GARY GENE JOHNSON PH.D, LP, LMFT
NPI 1245452291
Psychologist - Clinical in Minneapolis, MN

Active since May 02, 2007
430 OAK GROVE STREET, SUITE 414, MINNEAPOLIS, MN 55403(612) 872-9072(612) 872-8605 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Gene Johnson Ph.d, Lp, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY GENE JOHNSON PH.D, LP, LMFT (NPI 1245452291) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP1794) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1245452291
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GARY GENE JOHNSONCredential: PH.D, LP, LMFT
Location Address430 OAK GROVE STREET, SUITE 414Minneapolis, MN 55403-3242
Mailing Address430 Oak Grove Street, Suite 414Minneapolis, MN 55403-3242 · (612) 872-9072 · Fax (612) 872-8605
Phone(612) 872-9072
Fax(612) 872-8605
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1245452291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP1794
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
430 OAK GROVE STREET, Minneapolis, MN 55403
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Other Identifiers 2

Medicare UPIN0E001JOMN
Medicare UPIN61-20210MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LENI DE MIK PHD
Psychologist (Clinical)
430 OAK GROVE STREET, #230
MINNEAPOLIS, MN 55403
Hennepin County (612) 870-0230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1245452291. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Gary Johnson located?

Gary Johnson practices at 430 Oak Grove Street Suite 414, Minneapolis, MN 55403. The listed phone number is (612) 872-9072.

What is Gary Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.