Gary Pelton, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2000 Michie Dr
Charlottesville, VA 22901-2821

Phone

(434) 970-2129

NPI assigned

Mar 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1992004188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 OLD LYNCHBURG RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036550",
            "telephone_number": "434-972-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MICHIE DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012821",
            "telephone_number": "434-970-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "GARY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Pedri, SLP
• Kacy Peek, M.D.
• James Pegram, FNP
• Shawn J. Pelletier, M.D.
• Daniel L Pellicer
• Melissa Rose Peluso, ACNP
• John Phillip Ross Pemberton, MD
• David R Penberthy, MD
• Jennifer K. Penberthy
• Katherine Renee Pence, PA-C

• Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.