CHARLES S WASSERMAN (NPI# 1659361020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659361020 |
| Entity Type | Individual |
| Full Name | CHARLES S WASSERMAN |
| Credential | MD |
| Practice Address |
133 Old Road To 9 Acre Cor Emerson Hospital Concord MA 01742-4159 |
| Practice Telephone | 9782873543 |
| Practice Fax Number | 9782873695 |
| Mailing Telephone | 9782873543 |
| Mailing Fax Number | 9782873695 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
75442 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3128661 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598959678 | Charles Irwin Wasserman | Psychiatry & Neurology | 221 Ridgemede Rd, Suite 104, Baltimore, MD 21210-2900 | 2007-08-31 |
| 1093753949 | Charles M. Wasserman | Family Medicine | 6449 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2006-06-03 |
| 1659361731 | Charles Brent Wasserman Sr. | Psychologist | 19542 Mayall St, Northridge, CA 91324-1014 | 2005-10-28 |
| 1649240490 | Charles B Wasserman | Psychologist | 103 S High St, Suite 7, West Chester, PA 19382-3262 | 2006-01-25 |
| Street Address |
133 OLD ROAD TO 9 ACRE COR EMERSON HOSPITAL |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421523 | Gerald Oscar Malkin | Anesthesiology | 133 Old Road To 9 Acre Cor, Emerson Hospital Department of Anesthesia, Concord, MA 01742-4159 | 2005-10-19 |
| 1205437498 | Shane Scavello | Physician Assistant | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-11-04 |
| 1568080588 | Emily Stekl | Pharmacist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-07-07 |
| 1184249237 | Annie Yuan | Student in an Organized Health Care Education/Training Program | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-06-15 |
| 1255956215 | Quyen Thuy Cao | Student in an Organized Health Care Education/Training Program | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-06-15 |
| 1720619711 | Joseph Eddy | Pharmacist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 | 2020-01-29 |
| 1518508035 | Evan Salvatore | Dietitian, Registered | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2019-10-06 |
| 1508324195 | Maria Antonucci | Pharmacy | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2019-03-04 |
| 1558847525 | Rachael Greenleaf | Nurse Anesthetist, Certified Registered | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 | 2018-07-12 |
| 1740771807 | Sarah A Mistretta | Speech-Language Pathologist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537287 | Carolyn Rosa Mallon | Psychiatry & Neurology | 3 Pleasant St Ste 5-6, Concord, NH 03301-4003 | 2020-10-29 |
| 1669977682 | Cep America - Psychiatry PC | Psychiatry & Neurology | 4080 Port Chicago Hwy, Concord, CA 94520-1121 | 2018-03-30 |
| 1891002952 | Outlook Forensic & Behavioral Health | Psychiatry & Neurology | 280 Executive Park Dr, Suite 100, Concord, NC 28025-1837 | 2010-09-09 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1548473218 | Sunita Kumari Mall | Psychiatry & Neurology | 1420 Willow Pass Rd # 200, Concord, CA 94520-5823 | 2007-05-08 |
| 1427278696 | Sumana Gadde | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2007-04-27 |
| 1356461156 | Scott Morris | Psychiatry & Neurology | 1150 Main St Ste 10, Concord, MA 01742-3058 | 2007-03-29 |
| 1386761815 | Wendi Diamond | Psychiatry & Neurology | 1150 Main Street, Suite 9, Concord, MA 01742-3053 | 2007-03-22 |
| 1780710376 | Frank Guastella Anderson | Psychiatry & Neurology | 70 Junction Square Dr # A, Concord, MA 01742-3049 | 2007-02-26 |
| 1255485322 | Steven M Mirin | Psychiatry & Neurology | 384 Caterina Hts, Concord, MA 01742-4752 | 2007-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.