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

Mini Johnson

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1710600077

Mini Johnson is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Dix Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

197 Half Hollow Rd
Dix Hills, NY 11746-5859
Phone: (631) 370-1694
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence 781032-01 (NY)

Record details

NPI number1710600077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 20, 2022
Mailing address197 Half Hollow Rd, Dix Hills, NY 11746-5861

Other providers in Dix Hills