DEXTER D WHITTEMORE (NPI# 1881771061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881771061 |
Entity Type | Individual |
Full Name | DEXTER D WHITTEMORE |
Credential | MD |
Practice Address |
8085 Wayzata Blvd Suite 101 Golden Valley MN 55426-1456 |
Mailing Address |
2497 7th Ave E Suite 101 North St Paul MN 55109-2496 |
Practice Telephone | 6517696300 |
Practice Fax Number | 6517696349 |
Mailing Telephone | 6517696437 |
Mailing Fax Number | 6517696426 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
17811 | MN | Allopathic & Osteopathic Physicians |
Street Address |
8085 WAYZATA BLVD SUITE 101 |
City | GOLDEN VALLEY |
State | MN |
Zip Code | 55426-1456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710963988 | Gunther & Associates, P.a. | Clinical Neuropsychologist | 8085 Wayzata Blvd, Ste. 216, Golden Valley, MN 55426-1453 | 2005-12-20 |
1568806065 | Allison B Greenwald | Social Worker | 8085 Wayzata Blvd, Golden Valley, MN 55426-1453 | 2013-04-26 |
1407123425 | Center for Psychological Consultation, P.a. | Psychologist | 8085 Wayzata Blvd, Suite 100b, Golden Valley, MN 55426-1453 | 2011-11-18 |
1760613749 | John David Heefner | Psychiatry & Neurology | 8085 Wayzata Blvd, Suite 101, Golden Valley, MN 55426-1453 | 2009-08-07 |
1033359492 | Joyce Lynn Ratner | Social Worker | 8085 Wayzata Blvd, Golden Valley, MN 55426-1453 | 2009-02-25 |
1629291968 | Ferris Ann Fletcher | Psychologist | 8085 Wayzata Blvd, Ste 216, Golden Valley, MN 55426-1453 | 2007-04-11 |
1972682847 | James Edward Boscardin | Psychologist | 8085 Wayzata Blvd, Suite 100b, Golden Valley, MN 55426-1453 | 2006-11-03 |
1750473641 | Fran S. Zimmerman | Psychologist | 8085 Wayzata Blvd, Suite 216, Golden Valley, MN 55426-1453 | 2006-09-28 |
1851497879 | Virginia Adamski Jacobs | Psychologist | 8085 Wayzata Blvd, Suite 101, Golden Valley, MN 55426-1456 | 2006-09-16 |
1679679633 | Herbert Allen Brenden | Psychologist | 8085 Wayzata Blvd, Suite 101 Bhsi LLC, Golden Valley, MN 55426-1456 | 2006-09-16 |
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1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
Find all providers in zip 55426 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669559837 | Lynda Joan Barger | Psychiatry & Neurology | 5905 Golden Valley Rd, Golden Valley, MN 55422-4463 | 2006-11-01 |
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1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
1356597041 | Wei Guan | Psychiatry & Neurology | 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 | 2008-08-13 |
1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
1396885646 | Muhammad Waqar Azeem | Psychiatry & Neurology | 11705 State Ave, Brainerd, MN 56401-7307 | 2007-02-07 |
1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
1891884326 | Highland Psychiatric Services Pa | Psychiatry & Neurology | 897 St Paul Ave, St Paul, MN 55116 | 2006-10-12 |
1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
Find all providers with the same taxonomy |
City | GOLDEN VALLEY |
Zip Code | 55426 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.