Gregory Tomasulo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

048.0106696 Issued in VT

Practice address

350 Fisher Rd
Montpelier, VT 05633-7901

Phone

(802) 828-3300

NPI assigned

Jul 13, 2022

Sex

Male

Sole proprietor

No

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

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• State of Vermont

  • Psychiatric Hospital
  • Berlin, VT
  • NPI 1043567977
  NPD
• State of Vermont

  • Clinical Medical Laboratory
  • Colchester, VT
  • NPI 1215151410
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1619601994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 JUNIPER RIDGE RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524397",
            "telephone_number": "802-735-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FISHER RD",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056337901",
            "telephone_number": "802-828-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASULO",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0106696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamella K. Thygesen, AS
• Laura Timmkreitzer
• Demaris Tisdale, M.S.W.
• Jeniffer Tobon, ARNP
• Leslee G Tocci, LCMHC
• Jenjira M Townsend
• Treatment Associates, Inc
• Treatment Associates, LLP
• Jeremy Tretiak
• Trillium Healthworks, LLC

• All providers in Montpelier, VT
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.