Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Michael Whiteside, PHD

Individual provider Clinical Neuropsychologist · NPI 1346280971

Douglas Michael Whiteside, PHD is a Clinical Psychologist in Minneapolis, Minnesota. Graduated from University of Nebraska College of Medicine in 1994, 32 years ago. Practices with University of Minnesota Health Clinics and Surgery Center Inc, a 615-clinician group and accepts Medicare assignment. Licensed in Iowa, Minnesota and Washington.

Years since qualifying
32
Trained at
University of Nebraska College of Medicine
Licensed in
IA, MN, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 672-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6425 (MN)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence LP6425 (MN)
Psychologist Taxonomy 103T00000X · Licence 073858 (IA)
Psychologist Taxonomy 103T00000X · Licence 2492 (WA)

Record details

NPI number1346280971
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice University Of Minnesota Health Clinics And Surgery Center Inc — 615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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