Active NPI
Michael J Ferullo, MSW LICSW
- Psychologist
- Brookline, MA
National Provider Identifier
1649256405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 106369
- Practice address
- 1678 Beacon St
Brookline, MA 02445-2113 - Phone
- (617) 739-2441
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 106369 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 106369 | MA |
Addresses
Primary practice location
1678 Beacon St
Brookline, MA 02445-2113
Mailing address
1678 Beacon St
Brookline, MA 02445-2113
Phone (617) 739-2441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106369 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649256405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1678 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024452113",
"telephone_number": "617-739-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1678 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024452113",
"telephone_number": "617-739-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERULLO",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "106369",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.