Individual provider · Type 1 NPI

Samuel Joseph Fasulo, PhD

Clinical Psychologist · Pleasantville, NY

NPI number 1710133715 Active

Practice location

415 Bedford Rd Ste 6
Pleasantville, NY 10570-3014

Call (914) 502-3205 Map

Fax (904) 222-8987

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X017737 (NY)

Clinical Psychologist: 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 discip…

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About NPI 1710133715

Samuel Joseph Fasulo, PhD's National Provider Identifier is 1710133715, issued on Aug 11, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Pleasantville, NY. The record was last updated on Mar 26, 2026.