MS. KATHERINE TERESA JOHNSON (NPI# 1083709679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083709679 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE TERESA JOHNSON |
| Credential | M.A., L.P. |
| Practice Address |
8897 Aztec Drive Eden Prairie MN 55344 |
| Mailing Address |
1980 West 7th Street #220 Saint Paul MN 55116-3227 |
| Practice Telephone | 6123730760 |
| Mailing Telephone | 6516990099 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP2967 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS & BLUE SHIELD | 7H975JO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447738232 | Katherine Johnson | Behavioral Analyst | 1000 Sunnyside Ave Bldg Room4001, Lawrence, KS 66045-6521 | 2018-08-02 |
| 1255857496 | Katherine Johnson | Pharmacist | 1501 N Campbell Ave Pharmacy Services Box 245009, Tucson, AZ 85724-0001 | 2017-08-18 |
| 1497279137 | Katherine Ryan Johnson | Nurse Practitioner | 1532 Robert E. Lee Blvd, New Orleans, LA 70122 | 2017-08-02 |
| 1699220707 | Katherine Anne Williams Johnson | Nurse Practitioner | 947 Scotland Dr, Suite #107, Desoto, TX 75115-2090 | 2016-08-18 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| 1407279300 | Katherine Johnson | Pharmacist | 6388 W Pontiac Dr, Glendale, AZ 85308-6666 | 2014-01-28 |
| 1962830166 | Katherine Eileen Johnson | Occupational Therapist | 2932 N Damen Ave, Apartment 2, Chicago, IL 60618-8206 | 2013-10-24 |
| 1821436981 | Katherine Jo Johnson | Veterinarian | 5624 State Route 5, Herkimer, NY 13350-3513 | 2013-06-11 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1205101110 | Katherine Wood Johnson | Nurse Practitioner | 4805 Columbia Pike, Thompsons Station, TN 37179-5207 | 2012-03-12 |
| Street Address |
8897 AZTEC DRIVE |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407827173 | Sandra Hammond Taylor | Psychologist | 8897 Aztec Drive, Eden Prairie, MN 55344 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215366539 | Angela Faye Sovak | Psychologist | 9531 W 78th St Ste 340, Eden Prairie, MN 55344-8001 | 2013-11-06 |
| 1558679282 | Thomas Anthony Worwa | Psychologist | 830 Prairie Center Dr Ste 110, Eden Prairie, MN 55344-7301 | 2010-09-15 |
| 1366761090 | Linnea A Larson | Psychologist | 10200 Wild Duck Pass, Eden Prairie, MN 55347-5029 | 2010-05-20 |
| 1922152966 | Linda Ann Kutz | Psychologist | 250 Prairie Center Dr, Suite 270, Eden Prairie, MN 55344-7909 | 2007-01-23 |
| 1104975705 | Sharon E. Kanters | Psychologist | 8897 Aztec Dr, Eden Prairie, MN 55347-1901 | 2007-01-10 |
| 1891861621 | Kenneth F. Reed | Psychologist | 15832 Venture Ln, Eden Prairie, MN 55344-5732 | 2006-11-24 |
| 1700984226 | Brian Ehrich | Psychologist | 9531 W Est 78th Street, Suite 110, Eden Prairie, MN 55344-3810 | 2006-09-20 |
| 1790890374 | Louis Stephen Bartholome | Psychologist | 11000 Prairie Lakes Dr, Suite 610, Eden Prairie, MN 55344-3885 | 2006-08-21 |
| 1700831575 | Thomas Kuhlman Ph.d., P.a. | Psychologist | 12100 Singletree Ln, Suite 196, Eden Prairie, MN 55344-7919 | 2006-05-23 |
| 1407827173 | Sandra Hammond Taylor | Psychologist | 8897 Aztec Drive, Eden Prairie, MN 55344 | 2006-01-30 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
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| 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.