Active NPI
Trevor Floyd, MA
- Mental Health Counselor
- Dayville, CT
National Provider Identifier
1932376902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1007 N Main St
Dayville, CT 06241-2170 - Phone
- (860) 942-5600
- Fax
- (860) 774-0095
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1007 N Main St
Dayville, CT 06241-2170
Mailing address
1007 N Main St
Dayville, CT 06241-2170
Phone (860) 942-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004270899 | Medicaid | CT |
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1932376902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 N MAIN ST",
"city": "DAYVILLE",
"state": "CT",
"postal_code": "062412170",
"telephone_number": "860-942-5600",
"fax_number": "860-774-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 N MAIN ST",
"city": "DAYVILLE",
"state": "CT",
"postal_code": "062412170",
"telephone_number": "860-942-5600",
"fax_number": "860-774-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "TREVOR",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004270899",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.