Active NPI
Charles B Wasserman, PH.D.
- Clinical Psychologist
- West Chester, PA
National Provider Identifier
1649240490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-005589-L
- Practice address
- 103 S High St
Suite 7
West Chester, PA 19382-3262 - Phone
- (610) 429-4355
- Fax
- (610) 429-4355
- NPI assigned
- Jan 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS-005589-L | PA | Primary |
| Clinical Psychologist | 103TC0700X | B1-0000528 | DE |
Addresses
Primary practice location
103 S High St
Suite 7
West Chester, PA 19382-3262
Mailing address
103 S High St
Suite 7
West Chester, PA 19382-3262
Phone (610) 429-4355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050909000316 | PA | Practitioner - Clinical Psychologist | 2961434030 | Practice locations: West Chester, PA |
| I20110112000321 | DE | Practitioner - Clinical Psychologist | 2961434030 | Practice locations: Wilmington, DE; Wilmongton, DE; West Chester, PA; Newark, DE; Hockessin, DE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
103 S High St
Suite 7
West Chester, PA 19382-3262
Phone (610) 429-4355
105 S High St
West Chester, PA 19382-1008
Phone (610) 429-4355
105 S St
West Chester, PA 19382-3101
1912 Marsh Rd
Wilmington, DE 19810-3954
Phone (302) 529-1601
255 Possum Park Rd
Newark, DE 19711-3877
Phone (302) 366-0160
2723 Shipley Rd
Wilmington, DE 19810-3251
Phone (302) 475-9163
6525 Lancaster Pike
Hockessin, DE 19707-9582
Phone (302) 998-0181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005589-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649240490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S HIGH ST",
"address_2": "SUITE 7",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193823262",
"telephone_number": "610-429-4355",
"fax_number": "610-429-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S HIGH ST",
"address_2": "SUITE 7",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193823262",
"telephone_number": "610-429-4355",
"fax_number": "610-429-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "CHARLES",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-005589-L",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B1-0000528",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.