Provider Demographics
NPI:1154488658
Name:PEAK PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:PEAK PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:W
Authorized Official - Last Name:DAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-806-9470
Mailing Address - Street 1:5 BIRCH RUN DR
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-2122
Mailing Address - Country:US
Mailing Address - Phone:917-806-8470
Mailing Address - Fax:732-907-1825
Practice Address - Street 1:5 BIRCH RUN DR
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-2122
Practice Address - Country:US
Practice Address - Phone:917-806-8470
Practice Address - Fax:732-907-1825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016654103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty