Evelyn R Wassermann, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

144227 Issued in NY

Practice address

255 Lafayette St
Suffern, NY 10901

Phone

(845) 368-5199

NPI assigned

Dec 26, 2006

Last updated

Mar 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jawonio Inc

  • Community/Behavioral Health Agency
  • Spring Valley, NY
  • NPI 1417235946
  Medicare reassignment NPD
• Jawonio Inc

  • Early Intervention Provider Agency
  • New City, NY
  • NPI 1235209065
  NPD
• Jawonio Inc

  • Voluntary or Charitable Agency
  • New City, NY
  • NPI 1760826655
  NPD
• Suffern Psychiatric Services LLC

  • Psychiatry Physician
  • Suffern, NY
  • NPI 1497842876
  NPD (past)
• The Mental Health Association of Westchester County, Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1942306873

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1881759330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "address_2": "16 KENDALL DRIVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-557-0300",
            "fax_number": "845-557-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE ST",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-368-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMANN",
        "first_name": "EVELYN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "144227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLU",
            "identifier": "611BD1",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01348172",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Walrad, RN
• Irene C Walsh, SLP
• Nancy M Waltner, M.D.
• Jimmie Warren
• Arlene Marsha Washburn, RN
• We R Legends Therapy
• David Weber
• Frederick Weck, M.D.
• Shahla Weg, RN
• Alice Weigand, RN

• Psychiatry Physician in Suffern, NY
• Providers in Suffern, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.