Holly E. Johnson, P.H.D.,P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 2466 Issued in MN

Legal business name

HOLLY E. JOHNSON, P.H.D.,P.A.

Practice address

4005 W 65TH St
Suite 118
Edina, MN 55435-1720

Phone

(952) 929-7309

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By 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

Dr. Holly Johnson, PHDNPI 1659363323

Title

President

Phone

(952) 929-7309

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly Ellen Johnson, PHD

  • Psychologist
  • Edina, MN
  • NPI 1659363323
  Authorized official Same address or phone

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1710160585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 118",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "952-929-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 118",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "952-929-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY E. JOHNSON, P.H.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-929-7309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 2466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1659363323",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Marie Holland
• Zachary Robert Holland, O.D.
• Lisa Hollensteiner, MD
• Aaron Thomas Holley, MD
• Brian Holloway, MD
• Holly Wruck Inc
• Rachel Katherine Holm, D.D.S.
• Kristin Holmvik, PT, DPT
• David Carl Holte, M.D.
• Katherine A Holten, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.