P Praxis·MD
● Active Type 1 · Individual

DR. Kevin S Weatherly, PH.D.

Psychologist·Greenville, TX· NPI 1164785556 · Enumerated 2012 · 13 years on NPI
Weatherly is 1 of 4 psychologist providers in Greenville and 1 of 2632 in Texas.
NPI age
13 years
Enumerated 2012-06-20
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2632 active psychologist providers in Texas.

NPI age
13 years
≈ at median (13 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
5604 Wesley St Ste 104
Greenville, TX 754026326
📞 9038837792fax 9034885303
Mailing address
5604 Wesley St Ste 104
Greenville, TX 754026326
📞 9038837792fax 9034885303

Specialties

  • Psychologist Primary
    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,...
    TX license #37657 taxonomy 103T00000X
  • Psychologist
    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...
    TX license #37657 taxonomy 103TC0700X

Identifiers

TypeValueNotes
05 (TX) 375679301

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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