Thomas Edward Masullo, MSN, CRNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NR16342900 Issued in NJ

Practice address

900 Haddon Ave Ste 134
Collingswood, NJ 08108-2110

Phone

(856) 676-2337

Fax

(856) 903-3450

NPI assigned

Dec 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• NJ Memory and Behavioral Care

  • Geriatric Psychiatry Physician
  • Cedar Knolls, NJ
  • NPI 1538499181
  Medicare reassignment Care Compare group NPD
• Horizon House, Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1841377611
  Medicare reassignment NPD
• PA Memory and Behavioral Care LLC

  • Geriatric Psychiatry Physician
  • Easton, PA
  • NPI 1437855855
  Medicare reassignment NPD
• Out of the Wood Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Collingswood, NJ
  • NPI 1841189271
  NPD Authorized official
• Horizon House - Delaware Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
  • NPI 1881719268
  NPD (past)

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1821756057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 134",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082110",
            "telephone_number": "856-676-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 134",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082110",
            "telephone_number": "856-676-2337",
            "fax_number": "856-903-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASULLO",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "MSN, CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR16342900",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomasm@outofthewoodpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Haddon Ave Ste 134",
            "city": "Collingswood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081082110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cari Rachelle Loveland, DPT
• Cynthia Marie Macmillan, LCSW
• Courtney M Malcarney, MD
• Michael Mangino, PSY.D.
• Catherine Marsh, RD
• Lauren McCutcheon
• Alicia M McGovern, MSED, LPC, ACS
• McGrath Family Chiropractic
• Robert McGrath, DC
• Jodi B Meadvin, DMD

• Psychiatric/Mental Health Nurse Practitioner in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.