Active NPI
Nathan Charles Weed, PHD
- Clinical Psychologist
- Mt Pleasant, MI
National Provider Identifier
1992471395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012341
- Practice address
- 1280 E Campus Dr Carls Center
Mt Pleasant, MI 48859-0001 - Phone
- (989) 854-8566
- Fax
- (989) 774-2553
- NPI assigned
- Aug 17, 2021
- Sex
- Male
- 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 | 6301012341 | MI | Primary |
Addresses
Primary practice location
1280 E Campus Dr Carls Center
Mt Pleasant, MI 48859-0001
Mailing address
2194 W Kelly Dr
Mount Pleasant, MI 48858-8586
Phone (989) 854-8566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 9, 2021 through Aug 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012341 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1992471395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2194 W KELLY DR",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488588586",
"telephone_number": "989-854-8566",
"fax_number": "989-774-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 E CAMPUS DR CARLS CENTER",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488590001",
"telephone_number": "989-854-8566",
"fax_number": "989-774-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEED",
"first_name": "NATHAN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.