Adella Wasserstein, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

188946 Issued in NY

Practice address

3011 Kersdale Rd
Pepper Pike, OH 44124-5349

Phone

(212) 721-3462

Fax

(206) 666-1992

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: awasserstein327845@direct.ochin.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1538250204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 KERSDALE RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245349",
            "telephone_number": "917-304-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 KERSDALE RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245349",
            "telephone_number": "212-721-3462",
            "fax_number": "206-666-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38882 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440947875",
            "country_code": "US",
            "telephone_number": "440-953-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7232 Justin Way",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604881",
            "country_code": "US",
            "telephone_number": "440-578-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSERSTEIN",
        "first_name": "ADELLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "188946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320367",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Elise Visconti, CT
• Stefanie L Wagner, LISW
• Kristian Walker
• Victoria Wallace, LPN
• Andrea Ware, LISW-SUPV
• Theresa C Webb
• Jill Marie Weber, D.D.S.
• Guiseppina G Weinland, LISW-S
• Katelyn Joy Welch
• Lauren Welch

• Psychiatry Physician in Pepper Pike, OH
• Providers in Pepper Pike, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.