Jack Wasserman, PH.D
NPI 1225134893 · Clinical Psychologist · Newport Beach, CA
Jack Wasserman, PH.D is a Clinical Psychologist provider in Newport Beach, CA (NPI 1225134893).
Provider details
- NPI number
- 1225134893
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY11898 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2019-01-22
Frequently asked questions
- What is Jack Wasserman's NPI number?
- Jack Wasserman's National Provider Identifier (NPI) is 1225134893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wasserman's specialty?
- Jack Wasserman is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jack Wasserman located?
- Jack Wasserman's practice location on file with NPPES is 1101 Dove St, Newport Beach, CA 92660-2839.
- What is Jack Wasserman's phone number?
- The practice phone number listed in the NPPES registry for Jack Wasserman is (714) 812-6869.
- Is Jack Wasserman's NPI active?
- Yes — Jack Wasserman's NPI (1225134893) is active in the NPPES registry as of the last update on 2019-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.