Robert E. Johnson, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LP1796 Issued in MN

Legal business name

ROBERT E. JOHNSON, INC.

Doing business as

Robert E. Johnson, Licensed Psychologist

Practice address

2579 Hamline Ave N
Suite D
Roseville, MN 55113-3186

Phone

(651) 628-0947

Fax

(651) 636-2922

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Edward Johnson, M.A., L.P.

Title

Licensed Psychologist

Phone

(651) 628-0947

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Robert E. Johnson, Licensed Psychologist Doing business as

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1235304981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 HAMLINE AVE N",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133186",
            "telephone_number": "651-628-0947",
            "fax_number": "651-636-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 HAMLINE AVE N",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133186",
            "telephone_number": "651-628-0947",
            "fax_number": "651-636-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. JOHNSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-628-0947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., L.P."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "LP1796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099347600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI ALREADY ISSUED MEDICARE INFORMED US NEEDED GROUP ALSO",
            "identifier": "1225134687",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E. Johnson, Licensed Psychologist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail L Risse, PHD
• Robert Mills Ritchie Jr., LADC
• Heather Ritger
• Christopher Michael Rivers, DMD
• Allison Burns Rixey, MD
• Robinson Chiropractic, P.a (Brent JC Robinson, D.C.)
• Brent James Charles Robinson, D.C
• Denaya Lou-Jean Rockstad, LPCC
• Kathryn Marie Roeber, DC
• Haley Rogers, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseville, MN
• Providers in Roseville, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.