Organization Active NPI

Gloria Small PHD LLC

  • Psychologist
  • New Haven, CT
National Provider Identifier
1487947701
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
OO1413 Issued in CT
Legal business name
GLORIA SMALL PHD LLC
Practice address
65 Trumbull St
New Haven, CT 06510-1031
Phone
(203) 453-2932
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Gloria Smallp, PHD
Title
Psychologist
Phone
(203) 453-2932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X OO1413 CT Primary

Addresses

Primary practice location

65 Trumbull St
New Haven, CT 06510-1031

Mailing address

65 Trumbull St
New Haven, CT 06510-1031
Phone (203) 453-2932

Other identifiers 1

IdentifierTypeStateIssuer
004140852MedicaidCT

National Provider Directory

National Provider Directory

Locations

65 Trumbull St
New Haven, CT 06510
Phone (203) 453-2932

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1487947701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TRUMBULL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101031",
            "telephone_number": "203-453-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TRUMBULL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101031",
            "telephone_number": "203-453-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA SMALL PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "SMALLP",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "203-453-2932",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CT",
            "license": "OO1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004140852",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 30, 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.