DR. DEVON E. WHITEHEAD PH.D.
NPI 1003037458
Psychologist in Coon Rapids, MN

Active since May 02, 2007PECOS Enrolled
299 COON RAPIDS BLVD NE, SUITE 100, COON RAPIDS, MN 55344(651) 240-2206(612) 446-5766 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Feb 13, 2025 (2 updates tracked since 2025).

About Dr. Devon E. Whitehead Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEVON E. WHITEHEAD PH.D. (NPI 1003037458) is an individual psychologist in Coon Rapids, Minnesota, licensed in Minnesota (5603) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Champlin, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003037458
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DEVON E. WHITEHEADCredential: PH.D.
Location Address299 COON RAPIDS BLVD NE, SUITE 100Coon Rapids, MN 55344
Mailing Address11165 Zealand Ave NChamplin, MN 55316-3595 · (763) 531-0566 · Fax (763) 531-0602
Fax(612) 446-5766
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 2, 2007
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1003037458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · 5603
Definition
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.
299 COON RAPIDS BLVD NE, Coon Rapids, MN 55344

Secondary Practice Location 1

Location 111165 Zealand Ave NChamplin, MN 55316-3595 · Phone (763) 531-0566 · Fax (763) 531-0602

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Devon E. Whitehead Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335387216
PECOS Enrollment IDI20130606000524
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Devon Whitehead reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
299 COON RAPIDS BLVD NW STE 100
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
Multi-Specialty
10961 CLUB WEST PKWY
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
11165 ZEALAND AVE N
Champlin, MN 55316
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
Family Medicine
2680 SNELLING AVE N, SUITE 200
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Internal Medicine
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 671 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devon Whitehead's NPI number?

The NPI number for Devon Whitehead is 1003037458. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Devon Whitehead located?

Devon Whitehead practices at 299 Coon Rapids Blvd NE Suite 100, Coon Rapids, MN 55344. The listed phone number is (651) 240-2206.

What is Devon Whitehead's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Devon Whitehead enrolled in Medicare?

Yes. Devon Whitehead is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Devon Whitehead's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devon Whitehead reassigns Medicare benefits to 8 organizations: Vayda Mental Health Collaborative PLLC (Coon Rapids, MN), Fairview Clinics (Blaine, MN), North Therapy And Wellness PA (Champlin, MN), Healtheast Medical Research Institute (Roseville, MN), Fairview Bethesda Hospital (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devon Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Devon Whitehead accept?

Health plans from HealthPartners list Devon Whitehead as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devon Whitehead was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.