Melissa Michelle Johnson, PSY.D. LP.
NPI 1215176003ActiveIndividual· Psychologist· Edina, MN
Psychologist (PSY.D. LP.) with Nystrom and Associates Ltd, practicing in Edina, Minnesota. Medicare paid $20,608 for services to 11 patients in 2024.
Overview
| NPI | 1215176003 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. LP. |
| Sole proprietor | No |
| NPI issued | Feb 18, 2009 |
| Last updated in NPPES | Feb 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP5025 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 211 across 6 procedure codes |
| Paid by Medicare | $20,608 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
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