Melissa Wasserman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025015 Issued in NY

Practice address

16 E 41St St Ste 5B
New York, NY 10017-6217

Phone

(240) 350-1011

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1881283067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 67TH ST APT 15G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100230101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 41ST ST STE 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176217",
            "telephone_number": "240-350-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "MELISSA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Jay Wasserman, D.D.S.
• Judith G Wasserman, OTR/L
• Lauren Wasserman, DPM
• Lindsay Sarah Wasserman
• Lloyd Ian Wasserman, M.D.
• Meredith Wasserman, OTR
• Michael Andrew Wasserman, D.C.
• Tiffany Arlette Wasserman, MA CCC SLP
• Jeanette Wasserstein, PHD
• Melissa Pittel Wasserstein, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.