Charles Brent Wasserman Sr., PH. D.
NPI 1659361731ActiveIndividual· Psychologist, Clinical· Northridge, CA
Psychologist, Clinical (PH. D.) with Jaime Elizabeth Medvene PHD A Professional Psychological Corpora, practicing in Northridge, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1659361731 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH. D. |
| Sole proprietor | No |
| NPI issued | Oct 28, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY5722 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 1977 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Jaime Elizabeth Medvene PHD A Professional Psychological CorporaAgoura Hills, CA · 8 clinicians
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All 54 clinical psychologists in Northridge · All clinical psychologists in California