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DR. MARY JANE WEATHERBEE PSY.D.
NPI 1780870352
Psychologist - Clinical in Oakland, CA

Active since September 18, 2007Opted out of Medicare · through Nov 28, 2027
445 BELLEVUE AVE, SUITE 302, OAKLAND, CA 94610(510) 594-4060 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Jane Weatherbee Psy.d. NPPES

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

DR. MARY JANE WEATHERBEE PSY.D. (NPI 1780870352) is an individual clinical provider in Oakland, California, licensed in California (PSY 26084) and active in the NPI registry since September 2007. She has opted out of Medicare through November 28, 2027.

NPPES Registry Identity

NPI1780870352
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY JANE WEATHERBEECredential: PSY.D.
Location Address445 BELLEVUE AVE, SUITE 302Oakland, CA 94610-4923
Mailing Address5665 College Ave Ste 230dOakland, CA 94618-1639 · (510) 594-4060
Phone(510) 594-4060
Sole ProprietorYes
Enumeration DateSeptember 18, 2007
Last NPPES UpdateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1780870352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 26084
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
445 BELLEVUE AVE, Oakland, CA 94610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Jane Weatherbee Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 28, 2023 through November 28, 2027.

Opt-Out Effective DateNovember 28, 2023
Opt-Out In Effect ThroughNovember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIELLE BERG M.F.T.
Marriage & Family Therapist
445 BELLEVUE AVE, SUITE 104
OAKLAND, CA 94610
Alameda County (510) 594-4318
MR. JOHN LOUIS DEMELLO LCSW
Social Worker (Clinical)
445 BELLEVUE AVE, 300
OAKLAND, CA 94610
Alameda County (510) 532-8887
MS. MATILDA ANN ST JOHN MFT
Marriage & Family Therapist
445 BELLEVUE AVE, STE 300
OAKLAND, CA 94610
Alameda County (510) 628-0877
MAIA HUANG MFT
Marriage & Family Therapist
445 BELLEVUE AVE, SUITE 2
OAKLAND, CA 94610
Alameda County (510) 496-6020
DR. ERICA MEYERS PHD
Psychologist (Clinical)
445 BELLEVUE AVE, STE 201
OAKLAND, CA 94610
Alameda County (510) 832-0991
DAVID GAGE CUSHMAN PSY.D.
Psychologist (Clinical)
445 BELLEVUE AVE, SUITE 202
OAKLAND, CA 94610
Alameda County (415) 841-2481
MS. SIDNEY T. MULLEN MFT
Marriage & Family Therapist
445 BELLEVUE AVE, SUITE 303
OAKLAND, CA 94610
Alameda County (510) 893-7575
ELLEN POMPA MFT
Marriage & Family Therapist
445 BELLEVUE AVE, #101
OAKLAND, CA 94610
Alameda County (510) 915-0796

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 Mary Weatherbee's NPI number?

The NPI number for Mary Weatherbee is 1780870352. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Mary Weatherbee located?

Mary Weatherbee practices at 445 Bellevue Ave Suite 302, Oakland, CA 94610. The listed phone number is (510) 594-4060.

What is Mary Weatherbee's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Weatherbee enrolled in Medicare?

No. Mary Weatherbee has opted out of Medicare through November 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Weatherbee was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.