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JEANETTE WASSERSTEIN PHD
NPI 1689712416
Clinical Neuropsychologist in New York, NY

Active since February 02, 2007Opted out of Medicare · through Oct 1, 2027
1160 FIFTH AVENUE, SUITE 112, NEW YORK, NY 10029(212) 369-7228(212) 799-9653 Get Directions Write a Review

NPPES record last updated: November 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanette Wasserstein Phd NPPES

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

JEANETTE WASSERSTEIN PHD (NPI 1689712416) is an individual clinical neuropsychologist in New York, New York, licensed in New York (0074571) and active in the NPI registry since February 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689712416
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJEANETTE WASSERSTEINCredential: PHD
Location Address1160 FIFTH AVENUE, SUITE 112New York, NY 10029
Mailing Address1160 Fifth Avenue, Suite 112New York, NY 10029 · (212) 369-7228 · Fax (212) 799-9653
Phone(212) 369-7228
Fax(212) 799-9653
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateNovember 1, 2008
✔ NPI 1689712416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 0074571
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1160 FIFTH AVENUE, New York, NY 10029
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Other Identifiers 1

Medicare ID-Type UnspecifiedV19651NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jeanette Wasserstein Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

JANET DUFFY, LICENSED MENTAL HEALTH COUNSELING, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1160 FIFTH AVENUE, SUITE 3
NEW YORK, NY 10029
New York County (917) 710-8388
DR. RENA MATISON GREENBLATT PHD
Psychologist
1160 FIFTH AVENUE, STE 112
NEW YORK, NY 10029
New York County (212) 828-7574
MRS. LISA G SELSBY LCSW
Social Worker (Clinical)
1160 FIFTH AVENUE
NEW YORK, NY 10029
New York County (212) 288-7213

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 Jeanette Wasserstein's NPI number?

The NPI number for Jeanette Wasserstein is 1689712416. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Jeanette Wasserstein located?

Jeanette Wasserstein practices at 1160 Fifth Avenue Suite 112, New York, NY 10029. The listed phone number is (212) 369-7228.

What is Jeanette Wasserstein's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeanette Wasserstein enrolled in Medicare?

No. Jeanette Wasserstein has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeanette Wasserstein was last updated on November 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.