Theresa Maxam, FNP-BC, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12.015053 Issued in CT

Practice address

618 West Ave
Norwalk, CT 06850-4068

Phone

(203) 852-9525

NPI assigned

Jul 22, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The World Health Clinicians IncorporatedGroup PAC ID 0941470843, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The World Health Clinicians Incorporated

  • Infectious Disease Physician
  • Norwalk, CT
  • NPI 1861799827
  Medicare reassignment Care Compare group NPD
• The World Health Clinicians Incorporated

  • Community/Retail Pharmacy
  • Norwalk, CT
  • NPI 1225376643
  NPD

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1053293142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 WEST AVE STE 1",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504068",
            "telephone_number": "203-852-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504068",
            "telephone_number": "203-852-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXAM",
        "first_name": "THERESA",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "12.015053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Matla
• Garrett Matlick, APRN
• Liana Mattera, MA, LPC-A
• Amy Madeleine Matton, DACM, L.AC.
• Anne S Mauk, PA-C
• Maxim Healthcare Services, Inc.
• Eric M Mazur, M.D.
• MBS Counseling, LLC
• McAllister Psychiatry & Psychotherapy, LLC
• Caryn McAllister, PT

• Family Medicine Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.