Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Joseph Fasulo, PHD

Individual provider Clinical Psychologist · NPI 1710133715

Dr. Samuel Joseph Fasulo, PHD is a Clinical Psychologist in Pleasantville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

415 Bedford Rd Ste 6
Pleasantville, NY 10570-3014
Phone: (914) 502-3205
Fax: (904) 222-8987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 017737 (NY)

Record details

NPI number1710133715
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 11, 2008
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

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