Individual provider Active NPI

Joseph Frederick Fickes, MD

  • Psychiatry Physician
  • Fairfield, CT
National Provider Identifier
1902838329
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
032484 Issued in CT
Practice address
51 Merwins LN
Fairfield, CT 06824-1972
Phone
(203) 319-0733
Fax
(203) 319-0733
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 032484 CT Primary
Geriatric Psychiatry Physician 2084P0805X 032484 CT
Psychosomatic Medicine Physician 2084P0015X 032484 CT

Addresses

Primary practice location

51 Merwins LN
Fairfield, CT 06824-1972

Mailing address

51 Merwins LN
Fairfield, CT 06824-1972
Phone (203) 259-6878

Other identifiers 1

IdentifierTypeStateIssuer
001324847MedicaidCT

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000552 CT Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4981690286 Reassigns benefits to 2 organizations
Practice locations: New Haven, CT; Fairfield, CT

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-3633

20 York St
New Haven, CT 06510-3220

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032484CTMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Professional Group, LLC CurrentSince Dec 4, 2016 Accepting new patients
Northeast Medical Group, Inc. Psychiatry CurrentSince Jan 3, 2017 Accepting new patients
Saint Raphael Faculty Physicians Psychiatry Past Accepting new patients

Locations

4200 Park Ave
Bridgeport, CT 06604
Phone (203) 365-6400

175 Jefferson St
Fairfield, CT 06825
Phone (203) 365-6400

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: jfickes6018@direct.ynhh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1902838329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MERWINS LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068241972",
            "telephone_number": "203-259-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MERWINS LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068241972",
            "telephone_number": "203-319-0733",
            "fax_number": "203-319-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKES",
        "first_name": "JOSEPH",
        "middle_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "032484",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CT",
            "license": "032484",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CT",
            "license": "032484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001324847",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.