Individual provider Active NPI

Devon E. Whitehead, PH.D.

  • Psychologist
  • Coon Rapids, MN
National Provider Identifier
1003037458
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5603 Issued in MN
Practice address
299 Coon Rapids Blvd NE
Suite 100
Coon Rapids, MN 55344
Phone
(651) 240-2206
Fax
(612) 446-5766
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5603 MN Primary

Addresses

Primary practice location

299 Coon Rapids Blvd NE
Suite 100
Coon Rapids, MN 55344

Mailing address

11165 Zealand Ave N
Champlin, MN 55316-3595
Phone (763) 531-0566

Other practice location 1

11165 Zealand Ave N
Champlin, MN 55316-3595
Phone (763) 531-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130606000524 MN Practitioner - Clinical Psychologist 9335387216 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Therapy and Wellness PAGroup PAC ID 3870545668, 5 clinicians
Vayda Mental Health Collaborative PLLCGroup PAC ID 3375012453, 2 clinicians

Practice addresses (Care Compare)

11165 Zealand Ave N
Champlin, MN 55316-3595
Phone 7635310566106

299 Coon Rapids Blvd NW
Suite 100
Coon Rapids, MN 55433-5869
Phone (763) 363-6219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute CurrentSince Mar 11, 2020 Accepting new patients
Fairview Clinics CurrentSince Mar 11, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast St. John'S Hospital CurrentSince Mar 11, 2020 Accepting new patients
North Therapy and Wellness PA Psychologist CurrentSince Apr 20, 2020 Accepting new patients
Healtheast Care System CurrentSince Mar 11, 2020 Accepting new patients
Healtheast Medical Research Institute Psychologist CurrentSince Mar 11, 2020 Accepting new patients
Vayda Mental Health Collaborative PLLC CurrentSince Apr 11, 2026 Accepting new patients
Fairview Health Services CurrentSince Dec 8, 2019 Accepting new patients
Fairview Bethesda Hospital CurrentSince Mar 11, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Mar 11, 2020 Accepting new patients

Locations

11165 Zealand Ave N
Champlin, MN 55316
Phone (763) 531-0566

299 Coon Rapids Blvd NW
Ste 100
Coon Rapids, MN 55433
Phone (651) 240-2206

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

1405 Lilac Dr N
Ste 151
Minneapolis, MN 55422
Phone (763) 525-9919

2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1003037458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11165 ZEALAND AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163595",
            "telephone_number": "763-531-0566",
            "fax_number": "763-531-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 COON RAPIDS BLVD NE",
            "address_2": "SUITE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "651-240-2206",
            "fax_number": "612-446-5766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11165 Zealand Ave N",
            "address_purpose": "LOCATION",
            "city": "Champlin",
            "state": "MN",
            "postal_code": "553163595",
            "country_code": "US",
            "telephone_number": "763-531-0566",
            "fax_number": "763-531-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "DEVON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.