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

Dr. Jack Saul Wasserman, PHD

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1225134893

Dr. Jack Saul Wasserman, PHD is an Addiction (Substance Use Disorder) Psychologist in Newport Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1101 Dove St
Newport Beach, CA 92660-2839
Phone: (714) 812-6869
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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 11898 (CA)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence PSY11898 (CA)

Record details

NPI number1225134893
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 22, 2019

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