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Dr. Devon E. Whitehead , PhD

Psychologist β€’ Coon Rapids, MN

Active NPI 1003037458 Individual Practitioner Female Practitioner Telehealth (some services)
Practice location in NPPES

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

Call 6512402206 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

299 Coon Rapids Blvd Ne
Suite 100

Coon Rapids, MN 55344

Telephone 6512402206
Fax 6124465766
Organization at the Same NPPES Address or Phone
Vayda Mental Health Collaborative Pllc Facility NPI 1770194417

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Champlin, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: North Psychology Clinic Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Whitehead has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Whitehead as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Coon Rapids and Minnesota

23 active clinicians are listed under Psychologist with a practice address in Coon Rapids, MN (1,694 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coon Rapids

21.7% of these 23 clinicians have the CMS telehealth indicator.

17.4% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-15
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MN 5603

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20130606000524

Enrollment State Jurisdiction

MN

PECOS Control ID

9335387216

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

North Psychology Clinic Pa

11165 Zealand Ave N, Champlin, MN 553163595

Phone: 7635310566106

Secondary Practice Locations

11165 Zealand Ave N

Champlin, MN 553163595

Phone: 7635310566

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 15, 2026

Registered at 299 COON RAPIDS BLVD NE, SUITE 100, COON RAPIDS, MN 55344 (Tel: 6512402206)

πŸ“
Updated Practice Location February 13, 2025

Registered at 11165 ZEALAND AVE N, CHAMPLIN, MN 553163595 (Tel: 7635310566)

πŸ“
Updated Business Mailing Address February 13, 2025

Registered at 11165 ZEALAND AVE N, CHAMPLIN, MN 553163595 (Tel: 7635310566)

βœ…
NPI Profile Active April 08, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 08, 2013

Registered at 1321 13TH ST N, SAINT CLOUD, MN 563032613 (Tel: 3202525010)

πŸ“
Business Mailing Address (Initial Record) April 08, 2013

Registered at 1321 13TH ST N, SAINT CLOUD, MN 563032613 (Tel: 3302525010)

πŸ‘€
Provider Name / Credentials (Initial Record) April 08, 2013

Recorded as DEVON WHITEHEAD, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2013

Psychologist (license number reported to NPPES: MN 5603)

🟒
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003037458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: April 15, 2026
Sole Proprietor: No

Other Psychologists in Coon Rapids

Healthcare providers in Coon Rapids

Mailing Address

11165 Zealand Ave N

Champlin, MN 553163595

Phone: 7635310566

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.