Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARDY I. WASSERMAN ED.D.
NPI 1730120106
Psychologist - Clinical in Pasadena, CA

Active since June 09, 2006
959 E WALNUT ST, SUITE 212, PASADENA, CA 91106(626) 796-7760(818) 790-2468 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mardy I. Wasserman Ed.d. NPPES

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

DR. MARDY I. WASSERMAN ED.D. (NPI 1730120106) is an individual clinical provider in Pasadena, California, licensed in California (PSY4984) and active in the NPI registry since June 2006. She is a graduate of Other (1974).

NPPES Registry Identity

NPI1730120106
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARDY I. WASSERMANCredential: ED.D.
Location Address959 E WALNUT ST, SUITE 212Pasadena, CA 91106-1451
Mailing Address959 E Walnut St, Suite 212Pasadena, CA 91106-1451 · (626) 796-7760 · Fax (818) 790-2468
Fax(818) 790-2468
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1730120106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY4984
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.
959 E WALNUT ST, Pasadena, CA 91106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mardy I. Wasserman Ed.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991858334
PECOS Enrollment IDI20090731000496

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
283 services12 patients

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Pulmonary Disease)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
959 E WALNUT ST, SUITE 150
PASADENA, CA 91106
Clinic/Center (Sleep Disorder Diagnostic)
959 E WALNUT ST, SUITE 150
PASADENA, CA 91106
Internal Medicine (Critical Care Medicine)
959 E WALNUT ST, STE 120
PASADENA, CA 91106
Psychologist
959 E WALNUT ST, SUITE 212
PASADENA, CA 91106
Internal Medicine (Critical Care Medicine)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Internal Medicine
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Internal Medicine (Pulmonary Disease)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106

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 Mardy Wasserman's NPI number?

The NPI number for Mardy Wasserman is 1730120106. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Mardy Wasserman located?

Mardy Wasserman practices at 959 E Walnut St Suite 212, Pasadena, CA 91106. The listed phone number is (626) 796-7760.

What is Mardy Wasserman's specialty?

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

Is Mardy Wasserman enrolled in Medicare?

Yes. Mardy Wasserman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mardy Wasserman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.