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DR. SAMUEL JOSEPH FASULO PH.D.
NPI 1710133715
Psychologist - Clinical in Pleasantville, NY

Active since August 11, 2008
415 BEDFORD RD STE 6, PLEASANTVILLE, NY 10570(914) 502-3205(904) 222-8987 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Joseph Fasulo Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL JOSEPH FASULO PH.D. (NPI 1710133715) is an individual clinical provider in Pleasantville, New York, licensed in New York (017737) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1710133715
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMUEL JOSEPH FASULOCredential: PH.D.
Location Address415 BEDFORD RD STE 6Pleasantville, NY 10570-3014
Mailing Address415 Bedford Rd Ste 6Pleasantville, NY 10570-3014 · (914) 502-3205 · Fax (904) 222-8987
Phone(914) 502-3205
Fax(904) 222-8987
Sole ProprietorYes
Enumeration DateAugust 11, 2008
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1710133715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 017737
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
415 BEDFORD RD STE 6, Pleasantville, NY 10570
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOSS PSYCHOLOGICAL SERVICES, PC
Psychologist (Clinical)
415 BEDFORD RD STE 6
PLEASANTVILLE, NY 10570
Westchester County (914) 502-3205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Fasulo's NPI number?

The NPI number for Samuel Fasulo is 1710133715. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Samuel Fasulo located?

Samuel Fasulo practices at 415 Bedford Rd Ste 6, Pleasantville, NY 10570. The listed phone number is (914) 502-3205.

What is Samuel Fasulo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Samuel Fasulo was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.