Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Brent Wasserman Sr., PHD

Individual provider Clinical Psychologist · NPI 1659361731

Dr. Charles Brent Wasserman Sr., PHD is a Clinical Psychologist in Northridge, California. Qualified in 1977, 49 years ago. Practices with Jaime Elizabeth Medvene PHD a Professional Psychological Corpora, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
49
Licensed in
CA
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

19542 Mayall St
Northridge, CA 91324-1014
Phone: (818) 718-9705
Fax: (818) 718-2276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY5722 (CA)

Record details

NPI number1659361731
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Jaime Elizabeth Medvene Phd A Professional Psychological Corpora — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Northridge