Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany S Gourley, PHD

Individual provider Psychologist · NPI 1538784012

Bethany S Gourley, PHD is a Clinical Psychologist in Dearborn, Michigan. Qualified in 2019, 7 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

19855 Outer Dr Ste 300
Dearborn, MI 48124-2022
Phone: (313) 359-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-0898

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301019229 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301019229 (MI)

Record details

NPI number1538784012
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 10, 2020
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address19855 Outer Dr Ste 300, Dearborn, MI 48124-2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Dearborn