Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639168446 Individual Practitioner Female Practitioner

Dr. Cynthia Lynne Johnson , PsyD

Psychologist • St. Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cynthia Johnson, PsyD is a certified Psychologist practicing in St. Paul, MN. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Johnson delivers high-quality medical care to the local community at 333 SMITH AVE N, MAIL ROUTE 60222.

Dr. Johnson is affiliated with Allina Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include group psychotherapy, psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

333 Smith Ave N, Mail Route 60222

St. Paul, MN 55102

Telephone 6512418565
Fax 6512417168
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1760440713

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in St. Paul, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs -2.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
36 Specialists

Practicing in St. Paul, MN (1833 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (23 Years) 23 Yrs
St. Paul Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90853 Group psychotherapy
24 14 $82.11 $22.89

Medical Specialties & State Licenses

CMS Verified: 2021-03-11
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP3230

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2147165 (MN)

Hospital & Practice Group Affiliations

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jeannine Myrvik , LICSW

Social Worker - Clinical

NPI 1043404775

Licensed Independent Clinical Social Worker

Jean Sershen , LPC

Counselor - Professional

NPI 1548436306

Licensed Professional Counselor

NPI 1669631636

OCCUPATIONALTHERAPI

NPI 1962923094

Master of Social Work, LGSW

Sarah Nevin , LICSW

Social Worker - Clinical

NPI 1982828307

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 24, 2021

Registered at 333 SMITH AVE N, MAIL ROUTE 60222, ST. PAUL, MN 55102 (Tel: 6512418565)

📍
Updated Business Mailing Address February 24, 2021

Registered at 333 SMITH AVE N, MAIL ROUTE 60222, ST. PAUL, MN 55102 (Tel: 6512418565)

NPI Profile Active January 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2014

Registered at 2006 1ST AVE STE 205, ANOKA, MN 553032255 (Tel: 7634218274)

📍
Updated Business Mailing Address January 23, 2014

Registered at 2006 1ST AVE STE 205, ANOKA, MN 553032255 (Tel: 7634218274)

👤
Provider Name / Credentials Updated January 23, 2014

Recorded as CYNTHIA JOHNSON, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2014

Psychologist (License #LP3230 in MN)

🟢
Initial NPI Registration & Enumeration October 14, 2005

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: 1639168446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2005
Last Update: March 11, 2021
Sole Proprietor: Yes

Mailing Address

333 Smith Ave N, Mail Route 60222

St. Paul, MN 55102

Phone: 6512418565

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.