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

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: July 26, 2026.

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
Open in Google Maps ↗

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.

DR. SUSAN M. JACOB PH.D.
Counselor (Professional)
1101 DOVE ST, SUITE 160
NEWPORT BEACH, CA 92660
Orange County (949) 851-5022
DR. STEVEN CRAIG DAVIDSON PHD
Psychologist (Clinical)
1101 DOVE ST, SUITE 240
NEWPORT BEACH, CA 92660
Orange County (949) 233-0234
DR. NANCY ANN SWANSON PHD
Psychologist (Clinical)
1101 DOVE ST, SUITE 230
NEWPORT BEACH, CA 92660
Orange County (949) 244-4504
DR. NANCI R. CHAPPLE PSY.D., MFT
Marriage & Family Therapist
1101 DOVE ST, # 240
NEWPORT BEACH, CA 92660
Orange County (949) 752-6462
ESTHER PARK, D.O., LLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1101 DOVE ST, SUITE 130
NEWPORT BEACH, CA 92660
Orange County (949) 258-3741
NONA DJAVID CHIROPRACTIC INC.
Clinic/Center
1101 DOVE ST, STE 255
NEWPORT BEACH, CA 92660
Orange County (949) 387-1333
DR. GINNY LIWANPO PSY.D.
Psychologist (Clinical)
1101 DOVE ST, #155
NEWPORT BEACH, CA 92660
Orange County (949) 491-6135
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 with the weekly NPPES data releases published by CMS.