Active NPI
Dana Beth Wasserman, PSY.D.
- Clinical Psychologist
- Fresno, CA
National Provider Identifier
1447623871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27567
- Practice address
- 8050 N Palm Ave
Suite 313
Fresno, CA 93711-5510 - Phone
- (559) 549-4615
- NPI assigned
- Nov 6, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 27567 | CA | Primary |
Addresses
Primary practice location
8050 N Palm Ave
Suite 313
Fresno, CA 93711-5510
Mailing address
8050 N Palm Ave
Suite 313
Fresno, CA 93711-5510
Phone (559) 549-4615
Other names 1
- Dr. Dana Beth Shuster
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27567 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1447623871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 N PALM AVE",
"address_2": "SUITE 313",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115510",
"telephone_number": "559-549-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 N PALM AVE",
"address_2": "SUITE 313",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115510",
"telephone_number": "559-549-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "DANA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "SHUSTER",
"middle_name": "BETH",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.