Active NPI
Joseph R Wasdovich, PHD
- Clinical Psychologist
- Akron, OH
National Provider Identifier
1295772739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5149
- Practice address
- 72 Everett Ave
Akron, OH 44302-1040 - Phone
- (216) 433-2989
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5149 | OH | Primary |
Addresses
Primary practice location
72 Everett Ave
Akron, OH 44302-1040
Mailing address
72 Everett Ave
Akron, OH 44302-1040
Phone (216) 433-2989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2331793 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5149 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHSP,Inc | Clinical | Past | Accepting new patients |
| Smith Nursing Home, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Facility/Intermediate Care Facility
- Canton, OH
- NPI 1780753582
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023049723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295772739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 EVERETT AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443021040",
"telephone_number": "216-433-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 EVERETT AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443021040",
"telephone_number": "216-433-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASDOVICH",
"first_name": "JOSEPH",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2331793",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.