Dr. Phyllis Reid Headley , MD
General Practice • New Fairfield, CT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phyllis Headley has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Phyllis Headley, MD was a registered General Practice practicing in New Fairfield, CT. Throughout an active medical career spanning 17 years, Dr. Headley provided care at the practice location at 23 EASTVIEW DR until profile deactivation on 2024-06-19.
Practice Location & Contact Primary Location
23 Eastview Dr
New Fairfield, CT 068125019
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in New Fairfield, CT
Practicing in New Fairfield, CT (87 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2024
NPI status registered as active in NPPES database
Registered at 23 EASTVIEW DR, NEW FAIRFIELD, CT 068125019 (Tel: 2037469143)
Registered at 23 EASTVIEW DR, NEW FAIRFIELD, CT 068125019 (Tel: 2037469143)
Recorded as PHYLLIS HEADLEY, M.D.
General Practice (License #22213 in CT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
23 Eastview Dr
New Fairfield, CT 068125019
Phone: 2037469143
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