Individual provider Active NPI

Nicholas Maltby, PH.D.

  • Clinical Psychologist
  • Farmington, CT
National Provider Identifier
1235236365
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002464 Issued in CT
Practice address
10 Forest Park Dr
Farmington, CT 06032-1499
Phone
(860) 269-7813
Fax
(860) 269-7813
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002464 CT Primary

Addresses

Primary practice location

10 Forest Park Dr
Farmington, CT 06032-1499

Mailing address

10 Forest Park Dr
Farmington, CT 06032-1499
Phone (860) 269-7813

Other practice location 1

20 Bay St Fl 2
Westport, CT 06880-4331
Phone (203) 291-0458

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002464CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1235236365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321499",
            "telephone_number": "860-269-7813",
            "fax_number": "860-269-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321499",
            "telephone_number": "860-269-7813",
            "fax_number": "860-269-7813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Bay St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068804331",
            "country_code": "US",
            "telephone_number": "203-291-0458",
            "fax_number": "203-291-0458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALTBY",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.