DEXTER D WHITTEMORE


Address: 8085 Wayzata Blvd, Suite 101, Golden Valley, MN 55426-1456
Phone: 6517696300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
17811 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 8085 WAYZATA BLVD
SUITE 101
City GOLDEN VALLEY
State MN
Zip Code 55426-1456

Providers in the same location

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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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
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669559837 Lynda Joan Barger Psychiatry & Neurology 5905 Golden Valley Rd, Golden Valley, MN 55422-4463 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952945180 Pathways Autism Center LLC Psychiatry & Neurology 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 2019-10-31
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
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Competitor

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City GOLDEN VALLEY
Zip Code 55426

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Dataset Information

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.

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