DR. MARDY I. WASSERMAN (NPI# 1730120106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730120106 |
| Entity Type | Individual |
| Full Name | DR. MARDY I. WASSERMAN |
| Credential | ED.D. |
| Practice Address |
959 E Walnut St Suite 212 Pasadena CA 91106-1451 |
| Practice Telephone | 6267967760 |
| Practice Fax Number | 8187902468 |
| Mailing Telephone | 6267967760 |
| Mailing Fax Number | 8187902468 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY4984 | CA | Behavioral Health & Social Service Providers |
| Street Address |
959 E WALNUT ST SUITE 212 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953175 | Kathleen Jo Lucas | Dentist | 959 E Walnut St, #208, Pasadena, CA 91106-1451 | 2005-06-27 |
| 1356885586 | Brian Adams | Physical Therapist | 959 E Walnut St, Ste #240, Pasadena, CA 91106-1451 | 2016-12-07 |
| 1801248067 | Ryan H Joo, M.d. Inc. | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2016-07-11 |
| 1952700759 | Elisa Chang Md Inc | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2014-08-18 |
| 1922432814 | Davin Li | Dentist | 959 E Walnut St, Pasadena, CA 91106-1451 | 2013-08-27 |
| 1689980096 | Jihane Zaza Dit Yafawi | Internal Medicine | 959 E Walnut St, Pasadena, CA 91106-1451 | 2010-08-23 |
| 1639301922 | Ryan Hyun Wook Joo | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2009-08-20 |
| 1063601045 | Rajiv Philip | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2007-10-16 |
| 1609061191 | Leo Meng-tah Shum | Emergency Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2007-09-08 |
| 1396935243 | Paul H. Nieberg, M.d. Inc. | Internal Medicine | 959 E Walnut St, Ste 120, Pasadena, CA 91106-1451 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401260 | James Chavers Jr. | Psychologist | 335 Cherry Dr, Pasadena, CA 91105-2150 | 2020-09-12 |
| 1801416847 | Insight Personal and Family Therapy, Inc | Psychologist | 65 N Madison Ave Ste 601, Pasadena, CA 91101-2047 | 2020-04-20 |
| 1780222059 | Nevena Mojsilovic | Psychologist | 107 S Fair Oaks Ave Ste 223229, Pasadena, CA 91105-2010 | 2019-12-17 |
| 1366009060 | Hathaway Sycamores Child and Family Services | Psychologist | 2101 E Washington Blvd, Pasadena, CA 91104-1825 | 2019-05-29 |
| 1417514209 | Hathaway Sycamores Child and Family Services | Psychologist | 515 E Ashtabula St, Pasadena, CA 91104-4306 | 2019-05-28 |
| 1447817010 | Samantha Miller | Psychologist | 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105-2082 | 2019-05-20 |
| 1639533029 | Biljana Bujko | Psychologist | 745 S Marengo Ave Ste 202, Pasadena, CA 91106-4739 | 2016-04-11 |
| 1477919454 | Armine Melkonyan | Psychologist | 595 E Colorado Blvd Ste 409, Pasadena, CA 91101-2018 | 2016-01-07 |
| 1073982344 | Safe Harbor Christian Counseling of Annapolis | Psychologist | 206 Pleasantview Ave, Pasadena, MD 21122-4042 | 2015-09-17 |
| 1861869489 | Supatra Hanna Tovar | Psychologist | 1000 E Walnut St Ste 246, Pasadena, CA 91106-5370 | 2015-08-31 |
| Find all providers in PASADENA | ||||
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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.