Dana Marie Weideman, M.S.,L.L.P.,B.C.B.A

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009563 Issued in MI

Practice address

18635 Bowie St
Southgate, MI 48195-2805

Phone

(734) 785-7700

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catalyst Therapy and Consultation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, MI
  • NPI 1174494173
  NPD Authorized official
• The Guidance Center

  • Community/Behavioral Health Agency
  • Southgate, MI
  • NPI 1609947027
  NPD

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1982933925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18635 BOWIE ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952805",
            "telephone_number": "734-785-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18635 BOWIE ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952805",
            "telephone_number": "734-785-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19401 Northline Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952277",
            "country_code": "US",
            "telephone_number": "734-785-7718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDEMAN",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "M.S.,L.L.P.,B.C.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "6301009563",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Weaver
• Estelle Delores Weaver, LBSW
• Kia Marie Michelle Weaver
• Brandi Anitra Weems, LLMSW
• Jessica Weick
• Lynda A Welch, RN
• Wellness Counseling L.L.C.
• Kara Wells
• Wellstreet Urgent Care of Michigan
• Ellen Jean Wend, LMSW

• All providers in Southgate, MI
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.