Kevin Weatherly, PH.D.
NPI 1164785556 · Psychologist · Greenville, TX
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Weatherly, PH.D. is a Psychologist provider in Greenville, TX (NPI 1164785556).
Provider details
- NPI number
- 1164785556
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 37657 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Frequently asked questions
- What is Kevin Weatherly's NPI number?
- Kevin Weatherly's National Provider Identifier (NPI) is 1164785556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Weatherly's specialty?
- Kevin Weatherly is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kevin Weatherly located?
- Kevin Weatherly's practice location on file with NPPES is 5604 Wesley St Ste 104, Greenville, TX 75402-6326.
- What is Kevin Weatherly's phone number?
- The practice phone number listed in the NPPES registry for Kevin Weatherly is (903) 883-7792.
- Does Kevin Weatherly accept Medicare?
- Kevin Weatherly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Weatherly's NPI active?
- Yes — Kevin Weatherly's NPI (1164785556) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.