DR. JACK SAUL WASSERMAN PH.D
NPI 1225134893
Psychologist - Clinical in Newport Beach, CA

Q: What is Jack Wasserman's NPI number?

The NPI number for Jack Wasserman is 1225134893. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Jack Wasserman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jack Wasserman was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2006

1101 DOVE ST, NEWPORT BEACH, CA 92660(714) 812-6869 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jack Saul Wasserman Ph.d NPPES

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

DR. JACK SAUL WASSERMAN PH.D (NPI 1225134893) is an individual clinical provider in Newport Beach, California, licensed in California (11898) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1225134893

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACK SAUL WASSERMANCredential: PH.D

Location Address1101 DOVE STNewport Beach, CA 92660-2839

Mailing Address1101 Dove StNewport Beach, CA 92660-2839 · (714) 812-6869

Phone(714) 812-6869

Sole ProprietorYes

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJanuary 22, 2019

✔ NPI 1225134893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 11898

Definition

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 specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PSY11898 (CA)

1101 DOVE ST, Newport Beach, CA 92660

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Other Identifiers 1

Other1225134893CA · 103ta0400x

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER PARK, D.O., LLC

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1101 DOVE ST, SUITE 130
NEWPORT BEACH, CA 92660

Orange County (949) 258-3741

DR. SUSAN M. JACOB PH.D.

Counselor (Professional)

1101 DOVE ST, SUITE 160
NEWPORT BEACH, CA 92660

Orange County (949) 851-5022

DR. NANCY ANN SWANSON PHD

Psychologist (Clinical)

1101 DOVE ST, SUITE 230
NEWPORT BEACH, CA 92660

Orange County (949) 244-4504

DR. GINNY LIWANPO PSY.D.

Psychologist (Clinical)

1101 DOVE ST, #155
NEWPORT BEACH, CA 92660

Orange County (949) 491-6135

DR. STEVEN CRAIG DAVIDSON PHD

Psychologist (Clinical)

1101 DOVE ST, SUITE 240
NEWPORT BEACH, CA 92660

Orange County (949) 233-0234

DR. NANCI R. CHAPPLE PSY.D., MFT

Marriage & Family Therapist

1101 DOVE ST, # 240
NEWPORT BEACH, CA 92660

Orange County (949) 752-6462

NONA DJAVID CHIROPRACTIC INC.

Clinic/Center

1101 DOVE ST, STE 255
NEWPORT BEACH, CA 92660

Orange County (949) 387-1333

DR. ALINA M. BRIGHT PSY.D.

Psychologist (Clinical)

1101 DOVE ST, SUITE 165
NEWPORT BEACH, CA 92660

Orange County (949) 385-3524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wasserman's NPI number?

The NPI number for Jack Wasserman is 1225134893. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Jack Wasserman located?

Jack Wasserman practices at 1101 Dove St, Newport Beach, CA 92660. The listed phone number is (714) 812-6869.

What is Jack Wasserman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jack Wasserman was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.