BARRY JAY WASSERMAN NPI 1134242290

NPI Information

  • NPI: 1134242290
  • Provider Name: BARRY JAY WASSERMAN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 344 PLACERVILLE DR STE 17
    PLACERVILLE, CA
    ZIP 95667
  • Phone: (530) 621-6220

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NPI Details

Barry Jay Wasserman is a mental health counselor in Placerville, CA. Barry Jay Wasserman NPI is 1134242290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

344 PLACERVILLE DR STE 17
PLACERVILLE, CA
ZIP 95667-972
Phone: (530) 621-6220

The enumeration date for this NPI number is 4/6/2007 and was last updated on 5/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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