Bethany S. Gourley, PH.D.
Clinical Psychologist · Dearborn, MI
Bethany S. Gourley, PH.D. is a clinical psychologist with a practice address in Dearborn, Michigan, and NPI 1538784012, issued on Jun 10, 2020. Check the license (Michigan 6301019229, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Bethany S. Gourley
- Credential
- PH.D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 6301019229 MI
Self-reported in NPPES; status is on the state search - Practice location
- 19855 Outer Dr Ste 300, Dearborn, MI 48124
- Phone
- (313) 359-1977
- Enumerated
- Jun 10, 2020
- Record last updated
- Aug 22, 2023
- Medicare enrollment
- Enrolled (PECOS I20230515001428); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 2,965 in Michigan → Look up another NPI →
Also registered at 19855 Outer Dr Ste 300
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mira Cely, PHD, LPClinical Psychologist1992116222
- Corryn Jackson, LPCProfessional Counselor1841802469
- Alayna Mullins, LLMSWClinical Social Worker1316789621
- Stella ParkClinical Social Worker1437993532
- Sarah WieseClinical Social Worker1023663457
Verify Bethany S. Gourley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6301019229Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Beaumont Medical Group- Specialty ServicesFarmington Hills, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Bethany S. Gourley among 2,965 clinical psychologist records in Michigan
Bethany S. Gourley, PH.D. is one of 2,965 clinical psychologist records with a practice address in Michigan. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 83% of them.
- NPI issued2020 · 83% of these records are older, 14% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated2019 · median 2005 among the 697 with a school on file
- Record last updated2023 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
52 clinical psychologist records list a practice address in Dearborn
They are 52 of the 5,481 NPPES records with a practice address in Dearborn, and 2,965 clinical psychologist records in Michigan.
All 2,965 in Michigan → Every provider in Dearborn → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Steven Frank, PH.D.Dearborn, MI 481241174626592
- Susan Greenshields, PH.D.Dearborn, MI 481241821077082
- Penelope Hale, PH.DDearborn, MI 481241700961158
- Ricky Jentons, MALLPDearborn, MI 481241922297076
- Olga Julicher, M.A.L.L.P.Dearborn, MI 481241780873810
- Ellen Keyt, PHD, LPDearborn, MI 481241851696488
- Manuel Manrique, PH.D., L.P.Dearborn, MI 481241588710222
- Cynthia May, MA LLPDearborn, MI 481241396986733
Common questions
What is Bethany S. Gourley, PH.D.'s NPI number?
Bethany S. Gourley, PH.D.'s National Provider Identifier (NPI) is 1538784012, issued on Jun 10, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Bethany S. Gourley, PH.D. located?
The NPPES record lists a practice address at 19855 Outer Dr Ste 300, Dearborn, MI, 48124. Phone: (313) 359-1977. Providers update this record themselves, so call before visiting.
How can I verify Bethany S. Gourley, PH.D.'s license?
NPPES lists Michigan license number 6301019229, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.