ROBERT E. JOHNSON INC. NPI 1235304981

NPI Information

NPI: 1235304981
Provider Name: ROBERT E. JOHNSON, INC.
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: ROBERT E. JOHNSON, LICENSED PSYCHOLOGIST
Address: 2579 HAMLINE AVE N
SUITE D
ROSEVILLE, MN
ZIP 55113
Phone: (651) 628-0947

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NPI Details

ROBERT E. JOHNSON, INC. is a mental health (including community mental health center) clinic center in Roseville, MN. ROBERT E. JOHNSON, INC. NPI is 1235304981. The provider is registered as an organization entity type.
The provider Is Doing Business As Robert E. Johnson, Licensed Psychologist.

The provider's business location address is:

2579 HAMLINE AVE N
SUITE D
ROSEVILLE, MN
ZIP 55113-186
Phone: (651) 628-0947
Fax: (651) 636-2922

The provider's authorized official is Robert Edward Johnson .
The authorized official title is Licensed Psychologist and has the following contact phone number (651) 628-0947.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 4/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	LP1796	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	099347600	MEDICAID	MINNESOTA
2	1225134687	OTHER	MINNESOTA	INDIVIDUAL NPI ALREADY ISSUED MEDICARE INFORMED US NEEDED GROUP ALSO
3	620000282	MEDICARE PIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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