MARY WEATHERSTON (PHD) – Psychologist, NPI 1366417412

MARY WEATHERSTON (PHD) is a healthcare provider. based in Birmingham, Michigan. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 6301008672 (MI). The NPI Number for MARY WEATHERSTON (PHD) is 1366417412

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MARY WEATHERSTON (PHD)
NPI
1366417412
Phone
(248) 642-2411
Address
725 S ADAMS RD
Enumeration Date
22 February 2006
Last Update Date
14 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486422411
Graduation Year
1995 (31 years ago)
PAC ID
8123067931
Professional Enrollment ID
I20050503000385
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARY WEATHERSTON (PHD)

  • 725, South Adams Road, Birmingham, Oakland County, Michigan, 48009, United States

    STE 244

    BIRMINGHAM, MI 480096902

    Phone: (248) 642-2411

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48009)

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Reviews

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Frequently asked questions

What identifier follows MARY WEATHERSTON (PHD) across health systems?
The NPI 1366417412 uniquely identifies MARY WEATHERSTON (PHD) in U.S. healthcare data.
Is MARY WEATHERSTON (PHD)'s NPI status active today?
Active status means MARY WEATHERSTON (PHD)'s NPI record is not deactivated in the public file.
Which specialty label fits MARY WEATHERSTON (PHD)?
NPPES ties MARY WEATHERSTON (PHD) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY WEATHERSTON (PHD)?
MARY WEATHERSTON (PHD) shows a connection to Birmingham, Michigan in registry-derived data.
Who maintains MARY WEATHERSTON (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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