RIVER VALE PSYCHOLOGY CLINIC
NPI 1649893587
Psychologist - Clinical in Burnsville, MN

Active since May 27, 2020
200 E TRAVELERS TRL STE 205, BURNSVILLE, MN 55337(612) 249-0269(612) 249-8540 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2020, Aug 6, 2020, May 27, 2020 (3 updates tracked since 2020).

About River Vale Psychology Clinic NPPES

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

RIVER VALE PSYCHOLOGY CLINIC (NPI 1649893587) is a healthcare organization registered as a clinical in Burnsville, Minnesota and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Burnsville and lists Nicole M. Johnson Psyd Lp, Owner/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1649893587
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameNICOLE M. JOHNSON, PSYD, LP, LLC
Location Address200 E TRAVELERS TRL STE 205Burnsville, MN 55337-4191
Mailing Address200 E Travelers Trl Ste 205Burnsville, MN 55337-4191 · (612) 249-0269 · Fax (612) 249-8540
Fax(612) 249-8540
Organization SubpartNo
Authorized OfficialNicole M. Johnson Psyd LpOwner/licensed Psychologist · (612) 249-0287
Enumeration DateMay 27, 2020
Last NPPES UpdateSeptember 11, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1649893587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
200 E TRAVELERS TRL STE 205, Burnsville, MN 55337

Other Names 1

Doing Business AsRiver Vale Psychology Clinic

Secondary Practice Location 1

Location 1200 E Travelers Trl Ste 205Burnsville, MN 55337-4191 · Phone (952) 454-8269

Other Identifiers 1

Other1649893587MN · Npi Ii

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
200 E TRAVELERS TRL STE 205
BURNSVILLE, MN 55337
Psychologist (Clinical)
200 E TRAVELERS TRL STE 205
BURNSVILLE, MN 55337

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 Nicole M. Johnson, Psyd, LP, LLC's NPI number?

The NPI number for Nicole M. Johnson, Psyd, LP, LLC is 1649893587. It was assigned to this organization in the NPPES registry on May 27, 2020. The provider is doing business as River Vale Psychology Clinic.

Where is Nicole M. Johnson, Psyd, LP, LLC located?

Nicole M. Johnson, Psyd, LP, LLC is located at 200 E Travelers Trl Ste 205, Burnsville, MN 55337. The listed phone number is (612) 249-0269.

What is Nicole M. Johnson, Psyd, LP, LLC's specialty?

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

What insurance does Nicole M. Johnson, Psyd, LP, LLC accept?

Health plans from HealthPartners list Nicole M. Johnson, Psyd, LP, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole M. Johnson, Psyd, LP, LLC was last updated on September 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.