| Dr Cynthia Lynne Johnson, PSYD | |
|
333 Smith Ave N, Mail Route 60222, St. Paul, MN 55102 | |
| (651) 241-8565 | |
| (651) 241-7168 |
| Full Name | Dr Cynthia Lynne Johnson |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 333 Smith Ave N, Mail Route 60222, St. Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639168446 | NPI | - | NPPES |
| 2147165 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3230 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cynthia Lynne Johnson, PSYD 333 Smith Ave N, Mail Route 60222, St. Paul, MN 55102 Ph: (651) 241-8565 | Dr Cynthia Lynne Johnson, PSYD 333 Smith Ave N, Mail Route 60222, St. Paul, MN 55102 Ph: (651) 241-8565 |
Reena Pathak, PSYD LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2550 University Ave W, Ste 229n, St. Paul, MN 55114 Phone: 651-645-3115 Fax: 651-645-2752 | |
Dr. Shruti Dasgupta, LP,PHD Psychologist Medicare: Medicare Enrolled Practice Location: 649 Dayton Ave., St. Paul, MN 55104 Phone: 612-436-4840 Fax: 612-436-2604 | |
Nina Aileen Sayer, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2550 University Ave W, Ste 229n, St. Paul, MN 55114 Phone: 651-645-3115 Fax: 651-645-2752 | |
Dr. Mitchell Thomas Wittenberg, PH.D., LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: Jewish Family Service Of St. Paul, 1633 West Seventh Street, St. Paul, MN 55102 Phone: 651-698-0767 Fax: 651-698-0162 | |
Dr. Elizabeth Shryer Boyle, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1599 Selby Avenue, Suite 103, St. Paul, MN 55105 Phone: 651-789-4746 Fax: 651-393-5423 | |
Ms. Ann L Henry, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 821 Raymond Ave., Ste. 100, St. Paul, MN 55114 Phone: 651-251-0369 Fax: 651-251-3072 |