Individual provider Active NPI

Brett Scott Rayford, PSY.D.

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1922738392
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001715 Issued in CT
Practice address
5965 E Broad St Ste 350
Columbus, OH 43213-1533
Phone
(203) 645-3156
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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 001715 CT Primary

Addresses

Primary practice location

5965 E Broad St Ste 350
Columbus, OH 43213-1533

Mailing address

1824 Richtree Rd
Columbus, OH 43219-1651
Phone (203) 645-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410001397 CT Practitioner - Clinical Psychologist 9638517626 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001715CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Aug 1, 2024 Accepting new patients
Middlesex Hospital CurrentSince Apr 1, 2024 Accepting new patients
Middlesex Hospital CurrentSince Apr 1, 2024 Accepting new patients
Middlesex Hospital Clinical CurrentSince Apr 16, 2024 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Step Up Care PC LLC Clinical CurrentSince Apr 1, 2025 Accepting new patients

Locations

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

520 Saybrook Rd
Ste 210
Middletown, CT 06457
Phone (860) 343-0380

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

13 High St
Portland, CT 06480
Phone (860) 358-6418

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 6

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1922738392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 RICHTREE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191651",
            "telephone_number": "203-645-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST STE 350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131533",
            "telephone_number": "203-645-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYFORD",
        "first_name": "BRETT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.