Individual provider Active NPI

Louis A. Fusaro, PH.D., PH.D., CGP

  • Marriage & Family Therapist
  • Needham, MA
National Provider Identifier
1750450292
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
483 Issued in MA
Practice address
4 Oak St
Suite 3
Needham, MA 02492-2460
Phone
(781) 449-3092
Fax
(781) 449-3092
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 483 MA
Psychologist 103T00000X 483 MA
Group Psychotherapy Psychologist 103TP2701X 483 MA
Marriage & Family Therapist 106H00000X 483 MA Primary

Addresses

Primary practice location

4 Oak St
Suite 3
Needham, MA 02492-2460

Mailing address

57 Brookline St
Needham, MA 02492-4057
Phone (781) 444-6286

Other identifiers 1

IdentifierTypeStateIssuer
1891171MedicaidMA

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
483MAMDIntellectual & Developmental Disabilities Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750450292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BROOKLINE ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924057",
            "telephone_number": "781-444-6286",
            "fax_number": "781-449-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OAK ST",
            "address_2": "SUITE 3",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922460",
            "telephone_number": "781-449-3092",
            "fax_number": "781-449-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSARO, PH.D.",
        "first_name": "LOUIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D., CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MA",
            "license": "483",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "483",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "483",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891171",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, 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.

Verify at the official NPI Registry.