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Deactivated NPI 1457564080 Deactivated / Inactive NPI Male Practitioner

Dr. John J Johnson , PHD LP

Psychologist • Winona, 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. John Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2007
NPI Deactivation Date January 21, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Johnson, PHD LP was a registered Psychologist practicing in Winona, MN. Throughout an active medical career spanning 13 years, Dr. Johnson provided care at the practice location at 61 W 4TH ST until profile deactivation on 2020-01-21.

Practice Location & Contact Primary Location

Practice Address

61 W 4th St

Winona, MN 55987

Telephone 5074521164
Fax 5074520208

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Winona, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Winona, MN (1833 Statewide)

Telehealth Adoption Rate
14.3% 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 LP1795

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

1 Associated Practitioners
NPI 1508073693

PHDLP

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 January 21, 2020

Record deactivated on January 21, 2020

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 61 W 4TH ST, WINONA, MN 55987 (Tel: 5074521164)

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Updated Business Mailing Address July 08, 2007

Registered at 61 W 4TH ST, GREEN AND ASSOCIATES, WINONA, MN 55987 (Tel: 5074521164)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN JOHNSON, PHD LP

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

Psychologist (License #LP1795 in MN)

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Initial NPI Registration & Enumeration May 08, 2007

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: 1457564080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Deactivation Date: January 21, 2020

Mailing Address

61 W 4th St, Green And Associates

Winona, MN 55987

Phone: 5074521164

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.