MATTHEW MICHAEL JOHNSON DO NPI 1396173746

NPI Information

  • NPI: 1396173746
  • Provider Name: MATTHEW MICHAEL JOHNSON, DO
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 520 OSBORNE RD NE STE 210
    FRIDLEY, MN
    ZIP 55432
  • Phone: (763) 236-3800

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NPI Details

Matthew Michael Johnson, DO is a psychiatry psychiatry neurology in Fridley, MN with 5 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Matthew Michael Johnson, DO NPI is 1396173746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2021

The provider's business location address is:

520 OSBORNE RD NE STE 210
FRIDLEY, MN
ZIP 55432-718
Phone: (763) 236-3800
Fax: (763) 236-3821

The NPI 1396173746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 11/23/2025.

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
12084P0800XPsychiatry & NeurologyPsychiatryDO-06400IOWANo
22084P0800XPsychiatry & NeurologyPsychiatry78037MINNESOTAYes
3363A00000XPhysician Assistant11487MINNESOTANo

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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