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

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