Organization Active NPI

Out of the Wood Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Collingswood, NJ
National Provider Identifier
1841189271
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OUT OF THE WOOD PSYCHIATRY LLC
Practice address
900 Haddon Ave Ste 300-6
Collingswood, NJ 08108-2101
Phone
(856) 208-7398
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Mr. Thomas Edward Masullo, CRNPNPI 1821756057
Title
Owner/Ao
Phone
(856) 208-7398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

900 Haddon Ave Ste 300-6
Collingswood, NJ 08108-2101

Mailing address

900 Haddon Ave Ste 300-6
Collingswood, NJ 08108-2101
Phone (856) 208-7398

National Provider Directory

National Provider Directory

Locations

900 Haddon Ave
Ste 3006
Collingswood, NJ 08108
Phone (856) 208-7398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1841189271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 300-6",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082101",
            "telephone_number": "856-208-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 300-6",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082101",
            "telephone_number": "856-208-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT OF THE WOOD PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "MASULLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "856-208-7398",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.