Individual provider Active NPI

Gary William Dayton, PSY.D.

  • Clinical Psychologist
  • Glastonbury, CT
National Provider Identifier
1104871086
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002812 Issued in CT
Practice address
65 Minnechaug Dr
Glastonbury, CT 06033-1909
Phone
(860) 432-0561
Fax
(860) 432-0561
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002812 CT Primary
Clinical Psychologist 103TC0700X 016654-1 NY

Addresses

Primary practice location

65 Minnechaug Dr
Glastonbury, CT 06033-1909

Mailing address

65 Minnechaug Dr
Glastonbury, CT 06033-1909
Phone (860) 432-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016654-1NYMDClinical Psychologist
002812CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guild for Exceptional Children, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1104871086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MINNECHAUG DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331909",
            "telephone_number": "860-432-0561",
            "fax_number": "860-432-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MINNECHAUG DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331909",
            "telephone_number": "860-432-0561",
            "fax_number": "860-432-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002812",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016654-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.