DR. JEAN ELIZABETH JOHNSON PSYD NPI 1285837948

NPI Information

  • NPI: 1285837948
  • Provider Name: DR. JEAN ELIZABETH JOHNSON, PSYD
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: 1301 CORPORATE CENTER DR
    SUITE 116
    EAGAN, MN
    ZIP 55121
  • Phone: (651) 905-1814

Map and Directions

Get Directions

NPI Details

DR. Jean Elizabeth Johnson, PSYD is an intellectual and developmental disabilities in Eagan, MN. DR. Jean Elizabeth Johnson, PSYD NPI is 1285837948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 CORPORATE CENTER DR
SUITE 116
EAGAN, MN
ZIP 55121-298
Phone: (651) 905-1814
Fax: (651) 905-1815

The enumeration date for this NPI number is 6/8/2007 and was last updated on 9/11/2025.

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
1101YM0800XCounselorMental HealthLP4356MINNESOTANo
2103T00000XPsychologistLP4356MINNESOTANo
3103TA0700XPsychologistAdult Development & AgingLP4356MINNESOTANo
4103TB0200XPsychologistCognitive & BehavioralLP4356MINNESOTANo
5103TC0700XPsychologistClinicalLP4356MINNESOTANo
6103TC2200XPsychologistClinical Child & AdolescentLP4356MINNESOTANo
7103TF0000XPsychologistFamilyLP4356MINNESOTANo
8103TM1800XPsychologistIntellectual and Developmental DisabilitiesLP4356MINNESOTAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.