Active NPIIndividual providerSole proprietor

Dr. Gary P Kanabay, PSYD

Psychologist, Clinical in Mansfield Center, Connecticut

NPI Number1164521753
Practice location
207 Storrs RD # 174, Mansfield Center, CT 06250-1638
Fax
860-456-1738
Last updated
May 1, 2014

Gary Paul Kanabay is a Psychologist, Clinical based in Mansfield Center, CT. Gary Paul Kanabay practices in Mansfield Center, CT and has the professional credentials of PSYD. The NPI Number for Gary Paul Kanabay is 1164521753 and holds a License No. 001188 (CT). The current practice location address for Gary Paul Kanabay is 207 Storrs RD # 174, Mansfield Center, CT 06250-1638 and can be reached out via phone at 860-456-4604 and via fax at 860-456-1738.

Provider Profile Details

NPI Number
1164521753
Provider Name
Gary Paul Kanabay
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
207 Storrs RD # 174, Mansfield Center, CT 06250-1638
Phone Number
860-456-4604
Fax Number
860-456-1738
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2006
Last Update Date
May 1, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
207 Storrs RD # 174
Mansfield Center, CT 06250-1638
Zip
06250-1638
Phone Number
860-456-4604
Fax Number
860-456-1738
Mansfield Center, CT 06250Get directions →

Provider Business Mailing Address Details

Address
207 Storrs RD # 174
Mansfield Center, CT 06250-1638
City
Mansfield Center
State
CT
Zip
06250-1638
Phone Number
860-456-4604
Fax Number
860-456-1738

License Information

License Number
001188
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gary P Kanabay, PSYD?

The NPI number of Dr. Gary P Kanabay, PSYD is 1164521753. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary P Kanabay, PSYD?

Dr. Gary P Kanabay, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001188.

Where does Dr. Gary P Kanabay, PSYD practice?

The practice location is 207 Storrs RD # 174, Mansfield Center, CT 06250-1638. The office can be reached at 860-456-4604 (phone) or 860-456-1738 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164521753 directly on the NPPES registry website.

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