Active NPI
Mary Jane Weatherbee, PSY.D.
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1780870352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 26084
- Practice address
- 445 Bellevue Ave
Suite 302
Oakland, CA 94610-4923 - Phone
- (510) 594-4060
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 26084 | CA | Primary |
Addresses
Primary practice location
445 Bellevue Ave
Suite 302
Oakland, CA 94610-4923
Mailing address
5665 College Ave Ste 230D
Oakland, CA 94618-1639
Phone (510) 594-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 28, 2023 through Nov 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 26084 | CA | MD | Clinical Psychologist |
| 26084 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1780870352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 COLLEGE AVE STE 230D",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181639",
"telephone_number": "510-594-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BELLEVUE AVE",
"address_2": "SUITE 302",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104923",
"telephone_number": "510-594-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERBEE",
"first_name": "MARY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 26084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.