Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beth A Johnson, MD

Individual provider Psychiatry Physician · NPI 1235108408

Beth A Johnson, MD is a Psychiatry in Saint Paul, Minnesota. Graduated from University of Minnesota, Duluth School of Medicine in 2000, 26 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
26
Trained at
University of Minnesota, Duluth School of Medicine
Licensed in
IN, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-4786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 610 E Southport Rd Ste 200, Indianapolis, IN 46227-8592 — (317) 781-4588
  • 8111 S Emerson Ave, Indianapolis, IN 46237-8601 — (317) 781-4588
  • 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 — (763) 581-8240

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 44445 (MN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 01074599A (IN)

Record details

NPI number1235108408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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