Active NPI
Karen Nancy Wasserman, PH.D.
- Cognitive & Behavioral Psychologist
- Livingston, NJ
National Provider Identifier
1205292190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 4734
- Practice address
- 12 Vista Ter
Livingston, NJ 07039-1915 - Phone
- (917) 696-5671
- NPI assigned
- Jan 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 4734 | NJ | Primary |
Addresses
Primary practice location
12 Vista Ter
Livingston, NJ 07039-1915
Mailing address
12 Vista Terrace
Livingston, NJ 07039
Phone (917) 696-5671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4734 | NJ | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1205292190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 VISTA TERRACE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "917-696-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 VISTA TER",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391915",
"telephone_number": "917-696-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "KAREN",
"middle_name": "NANCY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NJ",
"license": "4734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.