Daniel B Wasserman PHD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1170 Issued in AZ

Legal business name

DANIEL B WASSERMAN PHD PC

Practice address

339 S Cortez St
Prescott, AZ 86303-4315

Phone

(928) 778-6259

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel B Wasserman, PHDNPI 1023237310

Title

President & Psychologist

Phone

(928) 778-6259

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Barack Wasserman, PH.D.

  • Psychologist
  • Prescott, AZ
  • NPI 1023237310
  Medicare reassignment Authorized official
• Robert Ira Browne, CSW

  • Clinical Social Worker
  • Prescott, AZ
  • NPI 1043327067
  NPD (past)
• Laurie Katon, LCSW

  • Clinical Social Worker
  • Prescott, AZ
  • NPI 1861470056
  NPD (past)
• Nancy Jean Minson

  • Clinical Social Worker
  • Prescott, AZ
  • NPI 1669526612
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1902084775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 S CORTEZ ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034315",
            "telephone_number": "928-778-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 S CORTEZ ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034315",
            "telephone_number": "928-778-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B WASSERMAN PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT & PSYCHOLOGIST",
        "authorized_official_telephone_number": "928-778-6259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Arnold Dachenhausen, D.D.S.
• Nicole Dahl-Lowe, APRN-FNP-BC
• Stephen William Dahn, M.D.
• Tony J Dalton, D.D.S.
• Diane Marie Damon-Horstman, ARDMS
• Daniel M. Burchfield, M.D.,PHD
• David Paul Danowski, MD
• Syamala V Darira, M.D.
• Dark Sky Assist
• April Lynn Darley, OTR L

• Psychologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.