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

Individual provider Clinical Psychologist · NPI 1730120106

Dr. Mardy I. Wasserman, EDD is a Clinical Psychologist in Pasadena, California. Qualified in 1974, 52 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
52
Licensed in
CA
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

959 E Walnut St Ste 212
Pasadena, CA 91106-1451
Phone: (626) 796-7760
Fax: (818) 790-2468
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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 PSY4984 (CA)

Record details

NPI number1730120106
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorNo
NPI enumeratedJune 9, 2006
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 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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