Active NPI
Devon E. Whitehead, PH.D.
- Psychologist
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| North Therapy and Wellness PA | Psychologist | Current | Accepting new patients |
| Healtheast Care System | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Psychologist | Current | Accepting new patients |
| Vayda Mental Health Collaborative PLLC | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Woodwinds Hospital | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champlin, MN
- NPI 1265462212
Psychologist
-
- Clinical Psychologist
- Coon Rapids, MN
- NPI 1770194417
-
- Long Term Care Hospital
- Saint Paul, MN
- NPI 1194787465
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Home Health Agency
- Saint Paul, MN
- NPI 1548595218
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.