Romelle a. Johnson, Clinical Psychology, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 3789 Issued in MN

Legal business name

ROMELLE A. JOHNSON, CLINICAL PSYCHOLOGY, LLC

Practice address

7800 Metro Pkwy
Suite 300
Bloomington, MN 55425-1514

Phone

(952) 853-9919

Fax

(952) 853-9929

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Romelle Johnson, PSYD, LP

Title

Licensed Psychologist

Phone

(952) 853-9919

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033276258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY",
            "address_2": "SUITE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251514",
            "telephone_number": "952-853-9919",
            "fax_number": "952-853-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY",
            "address_2": "SUITE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251514",
            "telephone_number": "952-853-9919",
            "fax_number": "952-853-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMELLE A. JOHNSON, CLINICAL PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROMELLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-853-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel A Rohr, NP
• Chad Erik Roline, M.D.
• Youssef Roman, PHARM.D., PH.D.
• Amanda Marie Romano, PA-C
• David Anthony Romans, D.O.
• Jennifer Rooney, M.S. - C.C.C.
• Rachel Wolfson Root, MD
• Mehdi Roozbahani, MD
• Armand Roper-Thornton
• Alejandra Rosario

• Psychologist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.