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Out of the Wood Psychiatry LLC

NPI 1841189271ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Collingswood, NJ

Nurse Practitioner, Psych/Mental Health in Collingswood, New Jersey, registered in NPPES in July 2025. The authorized official on file is Thomas Edward Masullo, CRNP, Owner/Ao. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1841189271
StatusActive
Entity typeOrganization
NPI issuedJul 1, 2025
Last updated in NPPESMay 22, 2026
Certified by providerMay 22, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

Other psychiatric nurse practitioners in Collingswood

All psychiatric nurse practitioners in New Jersey