DR. MARY JANE WHITESIDE PHD, LP
NPI 1083780829
Psychologist in Red Wing, MN

Active since November 24, 2006
217 PLUM ST, SUITE 140, RED WING, MN 55066(651) 388-4302(651) 385-9052 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Jane Whiteside Phd, Lp NPPES

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

DR. MARY JANE WHITESIDE PHD, LP (NPI 1083780829) is an individual psychologist in Red Wing, Minnesota, licensed in Minnesota (LP3361) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1083780829
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY JANE WHITESIDECredential: PHD, LP
Location Address217 PLUM ST, SUITE 140Red Wing, MN 55066-2351
Mailing Address217 Plum St, Suite 140Red Wing, MN 55066-2351 · (651) 388-4302 · Fax (651) 385-9052
Fax(651) 385-9052
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083780829 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 · LP3361
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.
217 PLUM ST, Red Wing, MN 55066

Other Names 1

Professional Name (2)Dr. Jane Whiteside Phd, Lp

Other Identifiers 7

Other132T7WHMN · Bluecross Blueshield(grp)
Other167752MN · Ucare
Other108480MN · Healthpartners
Other(NO NUMBER)MN · Mmsi (mayo)
Other61-68825MN · United Behavioral Health
Other1027089MN · Preferredone
Other132T8WHMN · Bluecross Blueshield(ind)

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
217 PLUM ST, SUITE 240
RED WING, MN 55066
Counselor (Addiction (Substance Use Disorder))
217 PLUM ST, ARMORY CENTER SUITE 220
RED WING, MN 55066
Chiropractor
217 PLUM ST, SUITE 120
RED WING, MN 55066
Counselor (Addiction (Substance Use Disorder))
217 PLUM ST, ARMORY CENTER, SUITE 220
RED WING, MN 55066
Chiropractor
217 PLUM ST, STE. 150
RED WING, MN 55066
Counselor (Addiction (Substance Use Disorder))
217 PLUM ST
RED WING, MN 55066

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 Mary Whiteside's NPI number?

The NPI number for Mary Whiteside is 1083780829. It was assigned to this individual provider in the NPPES registry on November 24, 2006. The provider is also known as Dr. Jane Whiteside Phd, LP.

Where is Mary Whiteside located?

Mary Whiteside practices at 217 Plum St Suite 140, Red Wing, MN 55066. The listed phone number is (651) 388-4302.

What is Mary Whiteside's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Whiteside was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.