Individual provider Active NPI

Charles B Wasserman, PH.D.

  • Clinical Psychologist
  • West Chester, PA
National Provider Identifier
1649240490
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-005589-L Issued in PA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PS-005589-LPAMDClinical 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

Verify at the official NPI Registry.