GRETCHEN E WEATHERLY PHD
NPI 1982621926
Clinical Neuropsychologist in Saint Paul, MN

Q: What is Gretchen Weatherly's NPI number?

The NPI number for Gretchen Weatherly is 1982621926. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Gretchen Weatherly's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since July 16, 2006PECOS Enrolled

200 UNIVERSITY AVE E, CHILD AND FAMILY SERVICES DEPARTMENT, SAINT PAUL, MN 55101(651) 229-3855(651) 602-6891 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gretchen E Weatherly Phd NPPES

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

GRETCHEN E WEATHERLY PHD (NPI 1982621926) is an individual clinical neuropsychologist in Saint Paul, Minnesota, licensed in Minnesota (LP4427) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982621926

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameGRETCHEN E WEATHERLYCredential: PHD

Location Address200 UNIVERSITY AVE E, CHILD AND FAMILY SERVICES DEPARTMENTSaint Paul, MN 55101-2507

Mailing Address200 University Ave E, Gillette Childrens Specialty HealthcareSaint Paul, MN 55101 · (651) 229-3855 · Fax (651) 602-6891

Phone(651) 229-3855

Fax(651) 602-6891

Sole ProprietorNo

Enumeration DateJuly 16, 2006

Last NPPES UpdateJanuary 18, 2008

✔ NPI 1982621926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MN · LP4427

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

200 UNIVERSITY AVE E, Saint Paul, MN 55101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gretchen E Weatherly Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

CAMILLE FENG

Social Worker (Clinical)