BEVERLY JEAN JOHNSON


Address: 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903
Phone: 9529263412

BEVERLY JEAN JOHNSON (NPI# 1295836492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295836492
Entity Type Individual
Full Name BEVERLY JEAN JOHNSON
Credential MA.LP
Practice Address 5275 Edina Industrial Blvd Ste 124
Edina
MN 55439-2903
Practice Telephone 9529263412
Practice Fax Number 9529263414
Mailing Telephone 9529263412
Mailing Fax Number 9529263414
Enumeration Date 2006-09-26
Last Update Date 2019-08-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP2076 MN Behavioral Health & Social Service Providers

Other Providers BEVERLY JOHNSON

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1891137873 Beverly C Johnson Hospice Care, Community Based 116 S Edward Avenue, Mound Bayou, MS 38762 2013-07-19
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1336410281 Beverly S Johnson Physical Therapy Assistant 2443 Watkins Grove Pt, Greensboro, NC 27406-9034 2012-01-24
1295973691 Beverly Berganos Johnson Physician Assistant 8160 Walnut Hill Ln Ste 200, Dallas, TX 75231-4340 2009-01-23
1942337795 Beverly J Johnson Licensed Practical Nurse 109 Center St, Caledonia, OH 43314-9493 2007-02-28
1053482216 Beverly Johnson Speech-Language Pathologist 710 Carpenter Fletcher Rd, Durham, NC 27713-1940 2006-11-10
1669489639 Beverly C Johnson Family Medicine 10220 Dixie Beeline Hwy, Guthrie, KY 42234 2006-08-02
1295717627 Beverly Ann Johnson Nurse Practitioner 4400 Goss Rd, Redstone Arsenal, AL 35809 2005-11-20
1265058028 Beverly Johnson Social Worker 2580 Victor Ave Ste C, Redding, CA 96002-1455 2020-06-17
1003344938 Beverly R Johnson Counselor 2404 Ferrand St Ste 23, Monroe, LA 71201 2017-05-23

Office Location

Street Address 5275 EDINA INDUSTRIAL BLVD STE 124
City EDINA
State MN
Zip Code 55439-2903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902267784 Anna Vogel Counseling LLC Counselor 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 2016-03-08
1396964987 Caroline Brooks Wilkening Counselor 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 2007-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773601 Bryan James Jaquette Specialist/Technologist Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 2020-09-04
1063034411 Joseph E Noble Marriage & Family Therapist 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 2020-05-08
1316421050 Global Kinetics Usa Corporation Physiological Laboratory 5810 West 78th Street, Suite 210, Bloomington, MN 55439 2018-09-19
1003361601 Zainab Ismail Hassan Community Health Worker 5400 W. 70th St # 207, Edina, MN 55439 2016-08-24
1861852287 Global Linguistics Inc Interpreter 5535 Oak Glen Rd, Edina, MN 55439 2016-02-26
1063889616 Lindsey Mackereth Counselor 7117 Ohms Ln, Edina, MN 55439 2015-08-31
1851706105 Holly Beth Gaudreau Specialist/Technologist 8100 W 78th St., Suite 225, Edina, MN 55439 2014-06-25
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1770812174 Heather Lynn Hanson Grudzinski Counselor 7400 Metro Blvd #100-6, Edina, MN 55439 2009-12-14
1548599319 Catasys Health Minnesota, Inc. Case Management 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 2009-12-08
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043704679 Erin Ayala Psychologist 7401 Metro Blvd Ste 510, Edina, MN 55439-3033 2018-06-18
1538559810 Krista Peterson Psychologist 6600 France Ave S Ste 230, Edina, MN 55435-1810 2015-01-26
1760899363 Jl Norman, Inc Psychologist 7241 Ohms Ln Ste 145, Edina, MN 55439-2136 2014-07-15
1104158195 Jan Hoistad Psychologist 4433 Dunham Dr, Edina, MN 55435-4139 2010-02-02
1093990798 Iris H Cornelius Psychologist 7401 Metro Blvd, Suite 400, Edina, MN 55439-3041 2008-01-01
1396935219 Michele Frances Dodds Psychologist 3948 West 50th St, #207, Edina, MN 55424 2007-07-26
1649485111 Minneapolis Southwest Mental Health Clinic, Limited Psychologist 4010 W 65th St Ste 101, Edina, MN 55435-1724 2007-05-10
1184840092 Loren Antone Hooyman Psychologist 3919 W 44th St, Suite 200, Edina, MN 55424-1032 2007-04-18
1114045481 Denise Hanna Bisanz Psychologist 3919 W 44th, #200, Edina, MN 55424-1032 2007-03-26
1437282860 Applied Behavioral Consultants, Inc. Psychologist 5275 Edina Industrial Blvd, #103, Edina, MN 55439-2918 2007-03-14
Find all providers in EDINA

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City EDINA
Zip Code 55439

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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