THEODORE WASSERMAN (NPI# 1437296159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437296159 |
| Entity Type | Individual |
| Full Name | THEODORE WASSERMAN |
| Credential | PH.D. |
| Practice Address |
5325 Greenwood Ave Suite 201 West Palm Beach FL 33407-2452 |
| Practice Telephone | 5618812822 |
| Practice Fax Number | 5618810972 |
| Mailing Telephone | 5618812822 |
| Mailing Fax Number | 5618810972 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY3977 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427178821 | Theodore Wolf Wasserman | Psychiatry & Neurology | 1400 Reed St, Philadelphia, PA 19146-4823 | 2007-03-30 |
| Street Address |
5325 GREENWOOD AVE SUITE 201 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337802 | Maurice Cruz | Pediatrics | 5325 Greenwood Ave, Suite 202, West Palm Beach, FL 33407-2452 | 2005-09-21 |
| 1457709511 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave, Suite 202, West Palm Beach, FL 33407-2452 | 2016-05-31 |
| 1336524214 | Children's Hematology & Oncology Associates | Pediatrics | 5325 Greenwood Ave, Suite 306, West Palm Beach, FL 33407 | 2015-07-21 |
| 1477836989 | Janine S Davis | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2011-09-21 |
| 1639464613 | Lavigne Verty | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2011-06-17 |
| 1447542741 | Madeleine Canavesi | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2011-05-05 |
| 1265721278 | Fabiola St Hilaire | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2011-03-30 |
| 1073812459 | Danielle Stein | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2011-03-24 |
| 1528368263 | Eric Verfaillie | Physician Assistant | 5325 Greenwood Ave, Suite 306, West Palm Beach, FL 33407-2452 | 2010-10-28 |
| 1275833139 | Tamika Williams | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2010-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205273703 | Arielle Rose Burdo | Psychologist | 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142463 | Krecer Psychological Services, LLC | Psychologist | 2015 Meadow Pond Way, Orlando, FL 32824-5060 | 2020-10-20 |
| 1912525866 | Vicky Wolfe | Psychologist | 203 Hollywood Blvd Ne, Fort Walton Beach, FL 32548-5775 | 2020-07-08 |
| 1144841727 | Chalfin Psychology Services, Inc. | Psychologist | 7800 Sw 57th Ave Ste 114, South Miami, FL 33143-5543 | 2020-05-05 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1447765631 | Cristina Anderson | Psychologist | 3081 Salzedo St Ste 202, Coral Gables, FL 33134-6725 | 2017-12-10 |
| 1073028734 | Audra Walsh, Phd, LLC | Psychologist | 1039 Park St N, St Petersburg, FL 33710-4317 | 2017-12-04 |
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1124574595 | Michelle C Fernandez | Psychologist | 7800 Sw 57th Avenue Suite 114, South Miami, FL 33143 | 2016-08-26 |
| 1952764060 | Penelope L. Norton, Phd | Psychologist | 555 W Granada Blvd Ste E3, Ormond Beach, FL 32174-9401 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
Please comment or provide details below to improve the information on THEODORE WASSERMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.