Organization Active NPI

Weber and Devers Psychological Services, P.C.

  • Psychologist
  • Sault Sainte Marie, MI
National Provider Identifier
1861609505
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301008585 Issued in MI
Legal business name
WEBER AND DEVERS PSYCHOLOGICAL SERVICES, P.C.
Practice address
605 E 7TH Ave
Sault Sainte Marie, MI 49783
Phone
(906) 635-7270
Fax
(906) 635-7688
NPI assigned
May 16, 2007
Last updated
Jun 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert James Devers, PSY.D.NPI 1922109636
Title
Vice President
Phone
(906) 635-7270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6803064866 MI
Professional Counselor 101YP2500X 6401002664 MI
Psychologist 103T00000X 6301011252 MI
Psychologist 103T00000X 6301010982 MI
Psychologist 103T00000X 6301009814 MI
Psychologist 103T00000X 6301008585 MI Primary
Clinical Social Worker 1041C0700X 6801073765 MI
Clinical Social Worker 1041C0700X 6801020691 MI
Clinical Social Worker 1041C0700X 6801082175 MI
Clinical Social Worker 1041C0700X 6801079326 MI
Marriage & Family Therapist 106H00000X 4101006291 MI

Addresses

Primary practice location

605 E 7TH Ave
Sault Sainte Marie, MI 49783

Mailing address

605 E 7TH Ave Apt 9
Sault Sainte Marie, MI 49783-3111
Phone (906) 635-7270

Other practice location 1

501 W Harrie St Ste E
Newberry, MI 49868-1226
Phone (906) 293-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040604000243 MI Part B Supplier - Clinic/Group Practice 3870575624 Receives reassigned benefits from 8 practitioners
Practice locations: Sault Sainte Marie, MI; Newberry, MI

National Provider Directory

National Provider Directory

Locations

7134 S M 221
Brimley, MI 49715
Phone (906) 248-3219

W13920 Melville St
Engadine, MI 49827
Phone (906) 635-7270

14126 County Road 428
Newberry, MI 49868
Phone (906) 293-3284

501 W Harrie St
Ste E
Newberry, MI 49868
Phone (906) 293-6117

11185 W 2nd St
Rudyard, MI 49780
Phone (906) 635-7270

605 E 7th Ave
Apt 9
Sault South Marie, MI 49783
Phone (906) 635-7270

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1861609505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 7TH AVE APT 9",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833111",
            "telephone_number": "906-635-7270",
            "fax_number": "906-635-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 7TH AVE",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-635-7270",
            "fax_number": "906-635-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Harrie St Ste E",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "MI",
            "postal_code": "498681226",
            "country_code": "US",
            "telephone_number": "906-293-6117",
            "fax_number": "906-293-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEBER AND DEVERS PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "DEVERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "906-635-7270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6803064866",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002664",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011252",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010982",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009814",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008585",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073765",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020691",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079326",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.