Provider Demographics
NPI:1912888488
Name:PAYTON, NATASHA NICOLE
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:NICOLE
Last Name:PAYTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 RADNOR AVE
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-2021
Mailing Address - Country:US
Mailing Address - Phone:203-615-8310
Mailing Address - Fax:
Practice Address - Street 1:118 RADNOR AVE
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-2021
Practice Address - Country:US
Practice Address - Phone:203-615-8310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health