IndividualActive
Mary Whiteside, PHD, LP
NPI 1083780829 · Psychologist · Red Wing, MN
Mary Whiteside, PHD, LP is a Psychologist provider in Red Wing, MN (NPI 1083780829).
Provider details
- NPI number
- 1083780829
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP3361 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
217 Plum St
Suite 140
Red Wing, MN 55066-2351
Phone: (651) 388-4302
Fax: (651) 385-9052
Street-level locationGet directions
Mailing address
217 Plum St
Red Wing, MN 55066-2351
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mary Whiteside's NPI number?
- Mary Whiteside's National Provider Identifier (NPI) is 1083780829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Whiteside's specialty?
- Mary Whiteside is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Whiteside located?
- Mary Whiteside's practice location on file with NPPES is 217 Plum St, Red Wing, MN 55066-2351.
- What is Mary Whiteside's phone number?
- The practice phone number listed in the NPPES registry for Mary Whiteside is (651) 388-4302.
- Is Mary Whiteside's NPI active?
- Yes — Mary Whiteside's NPI (1083780829) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.