Daniel Gerard Fortunato, M

Primary specialty

CounselorTaxonomy code 101Y00000X

License

302897 Issued in MA

Practice address

28 Williams St
Beverly, MA 01915-2324

Phone

(978) 578-2067

NPI assigned

Oct 4, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1205263274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILLIAMS ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152324",
            "telephone_number": "978-578-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILLIAMS ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152324",
            "telephone_number": "978-578-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "DANIEL",
        "middle_name": "GERARD",
        "credential": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "302897",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "302897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alejandra Fontecha
• Forefront Dermatology, S.C.
• Alyssa Forgione
• Hailey Margaret Forsyth
• Angela Fortenbacher, N.P.
• Mary Elizabeth Fortunato, MA, M.ED, LMHC
• Foundations Family Chiropractic, Inc.
• Courtney Fox, MD
• Elizabeth Fox
• Jessica L Fox, M.ED

• Counselor in Beverly, MA
• Providers in Beverly, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.