Individual provider Active NPI

Daniel Joseph Tomasulo, PH.D.

  • Counseling Psychologist
  • Red Bank, NJ
National Provider Identifier
1780883249
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2207 Issued in NJ
Practice address
130 Maple Ave
BLDG. 9, Suite 9
Red Bank, NJ 07701-1734
Phone
(732) 758-1122
Fax
(732) 758-1144
NPI assigned
Jul 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2207 NJ Primary
Group Psychotherapy Psychologist 103TP2701X 2207 NJ

Addresses

Primary practice location

130 Maple Ave
BLDG. 9, Suite 9
Red Bank, NJ 07701-1734

Mailing address

130 Maple Ave
BLDG. 9, Suite 9
Red Bank, NJ 07701-1734
Phone (732) 758-1122

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2207NJMDGroup Psychotherapy Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1780883249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE",
            "address_2": "BLDG. 9, SUITE 9",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011734",
            "telephone_number": "732-758-1122",
            "fax_number": "732-758-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE",
            "address_2": "BLDG. 9, SUITE 9",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011734",
            "telephone_number": "732-758-1122",
            "fax_number": "732-758-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASULO",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "2207",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NJ",
            "license": "2207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.