Individual provider Active NPI

Michael Alan Fritch, MFT

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1083793335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39822 Issued in CA
Practice address
1125 Missouri St
Suite 202
Fairfield, CA 94533-6088
Phone
(707) 208-5916
Fax
(707) 428-6774
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39822 CA Primary

Addresses

Primary practice location

1125 Missouri St
Suite 202
Fairfield, CA 94533-6088

Mailing address

710 Southampton Road
Suite 204
Benicia, CA 94510-2221
Phone (707) 208-5916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310002883 CA Practitioner - Marriage and Family Therapist 9537642400 Practice locations: Pleasant Hill, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Gregory LN
Suite C205
Pleasant Hill, CA 94523-3353
Phone (707) 208-5916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC39822CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083793335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SOUTHAMPTON ROAD",
            "address_2": "SUITE 204",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102221",
            "telephone_number": "707-208-5916",
            "fax_number": "707-428-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MISSOURI ST",
            "address_2": "SUITE 202",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336088",
            "telephone_number": "707-208-5916",
            "fax_number": "707-428-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITCH",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.