Active NPI
Maura Garych
- Professional Counselor
- Fairfield, CT
National Provider Identifier
1982078796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3828
- Practice address
- 1214 Post Rd
Fairfield, CT 06824-6008 - Phone
- (203) 743-4412
- Fax
- (203) 738-1188
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3828 | CT | Primary |
Addresses
Primary practice location
1214 Post Rd
Fairfield, CT 06824-6008
Mailing address
166 Christian Street
Bridgewater, CT 06752-1504
Phone (860) 965-1938
Other names 1
- Maura Fritz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 18, 2024 through Nov 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3828 | CT | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1982078796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 CHRISTIAN STREET",
"city": "BRIDGEWATER",
"state": "CT",
"postal_code": "067521504",
"telephone_number": "860-965-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246008",
"telephone_number": "203-743-4412",
"fax_number": "203-738-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARYCH",
"first_name": "MAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAURA",
"last_name": "FRITZ",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fairfield, CT
- Stacy Ganthier, BSN RN
- Alma Garcia
- Eric M Garver, MD
- Erika Joan Garvey
- Kurtis Garvin, LMFT
- Gastroenterology Associates of Fairfield P C (gastroenterology associates of fairfield county p c)
- Gastroenterology Associates of Fairfield PC (endoscopy center of fairfield)
- Gavin Eldercare Management, LLC
- Mary Ellen Gavin
- Rey Ronald Gayo, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.