Active NPI
Gloria Small, PHD
- Psychologist
- New Haven, CT
National Provider Identifier
1467563650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001413
- Practice address
- 65 Trumbull Street
New Haven, CT 06510 - Phone
- (203) 453-2932
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000203 | CT | |
| Psychologist | 103T00000X | 001413 | CT | Primary |
Addresses
Primary practice location
65 Trumbull Street
New Haven, CT 06510
Mailing address
65 Trumbull Street
New Haven, CT 06510
Phone (203) 453-2932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181674 | Other | OTHER | |
| NH5128 | Other | OTHER |
Other names 1
- Ms. Gloria Light
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1413 | CT | MD | Social Worker |
| 000203 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1467563650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 TRUMBULL STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-453-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 TRUMBULL STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-453-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "GLORIA",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "000203",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "001413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "181674",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "NH5128",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "LIGHT",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.