Brandon Massullo, MA/LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0900008 Issued in OH

Practice address

24500 Center Ridge Rd
Building 4, Suite 100
Westlake, OH 44145-5601

Phone

(440) 899-1300

Fax

(440) 899-0266

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Antone F Feo, PHD & Associates Inc

  • Psychologist
  • Westlake, OH
  • NPI 1336349083
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1396936597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD",
            "address_2": "BUILDING 4, SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455601",
            "telephone_number": "440-899-1300",
            "fax_number": "440-899-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD",
            "address_2": "BUILDING 4, SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455601",
            "telephone_number": "440-899-1300",
            "fax_number": "440-899-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSULLO",
        "first_name": "BRANDON",
        "credential": "MA/LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Andres Martinez, M.D.
• Mary Ann Lavery MD
• Mary K. Westbrook, D.B.a. Listening Advantage
• Lorraine Maslach, RBT
• Marwan Massouh, MD
• Mastnardo Massage Therapies
• Diane Mastnardo, LMT
• Premila Mathai, MD
• George K Mathew, M.D.
• Mary Terese Matousek, LPC EAP

• Professional Counselor in Westlake, OH
• Providers in Westlake, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.