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Deactivated NPI 1619948080 Deactivated / Inactive NPI Female Practitioner

Dr. Romelle Johnson , PSYD LP

Psychologist • Bloomington, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Romelle Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2006
NPI Deactivation Date August 16, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Romelle Johnson, PSYD LP was a registered Psychologist practicing in Bloomington, MN. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at 7800 METRO PKWY until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

7800 Metro Pkwy

Bloomington, MN 554251514

Telephone 9528539919
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Bloomington, MN (1833 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP3789

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Carolynne Moffat , LMFT

Marriage & Family Therapist

NPI 1033344031

Licensed Marriage and Family Therapist

John Walters , LAC

Acupuncturist

NPI 1144480294

Licensed Acupuncturist

Linda Nielsen , LICSW

Social Worker - Clinical

NPI 1326137969

Licensed Independent Clinical Social Worker

Roberta Gunther , MA, CCC-SLP

Speech-Language Pathologist

NPI 1326246968

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Lisa Squire , PhD, LP

Psychologist - Clinical

NPI 1609872589

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Dr. Thomas Misukanis , PhD

Clinical Neuropsychologist

NPI 1922168244

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7800 METRO PKWY, BLOOMINGTON, MN 554251514 (Tel: 9528539919)

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Updated Business Mailing Address July 08, 2007

Registered at 7800 METRO PKWY, BLOOMINGTON, MN 554251509 (Tel: 9528539919)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROMELLE JOHNSON, PSYD LP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP3789 in MN)

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Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619948080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: July 08, 2007
Deactivation Date: August 16, 2023

Mailing Address

7800 Metro Pkwy

Bloomington, MN 554251509

Phone: 9528539919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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