DR. EMMALINE WEIDMAN PH.D
NPI 1093736845
Psychologist in Charlevoix, MI

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
18611 CLIPPERVIEW RD, CHARLEVOIX, MI 49720(231) 547-7323(231) 547-7327 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Emmaline Weidman Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMMALINE WEIDMAN PH.D (NPI 1093736845) is an individual psychologist in Charlevoix, Michigan, licensed in Michigan (6301005683) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1093736845
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. EMMALINE WEIDMANCredential: PH.D
Location Address18611 CLIPPERVIEW RDCharlevoix, MI 49720-9711
Mailing Address18611 Clipperview RdCharlevoix, MI 49720-9711 · (231) 547-7323 · Fax (231) 547-7327
Fax(231) 547-7327
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 4, 2011
NPI 1093736845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301005683
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
18611 CLIPPERVIEW RD, Charlevoix, MI 49720

Other Identifiers 12

Other046482MI · Value Options
Other55410-72564MI · U.s. Behavioral Health
Other140447MI · Care Choice
Other62OF34852MI · Bluecross Blueshield
Medicare UPINR 67214MI
Other136230MI · Compsych
Other5585230MI · Aetna
Medicare ID-Type UnspecifiedOF 34852MI
Other207174MI · Mhn
OtherI.P.046056MI · Magellan
Other1055752MI · Cigna Behavioral Health
Other58894MI · Ppom

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Emmaline Weidman Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173613429
PECOS Enrollment IDI20071226000413
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmaline Weidman's NPI number?

The NPI number for Emmaline Weidman is 1093736845. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Emmaline Weidman located?

Emmaline Weidman practices at 18611 Clipperview Rd, Charlevoix, MI 49720. The listed phone number is (231) 547-7323.

What is Emmaline Weidman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Emmaline Weidman enrolled in Medicare?

Yes. Emmaline Weidman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emmaline Weidman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Emmaline Weidman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmaline Weidman was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.