MARY JO PUGLISI VASQUEZ PH.D.
NPI 1467572479
Psychologist - Clinical in Fairfield, CT
About Mary Jo Puglisi Vasquez Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JO PUGLISI VASQUEZ PH.D. (NPI 1467572479) is an individual clinical provider in Fairfield, Connecticut, licensed in Connecticut (3188) and active in the NPI registry since March 2007. She has opted out of Medicare through March 12, 2028 and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mary Jo Puglisi Vasquez Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 12, 2026 through March 12, 2028.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFIELD, CT 06825
FAIRFIELD, CT 06825
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Jo Vasquez's NPI number?
The NPI number for Mary Jo Vasquez is 1467572479. It was assigned to this individual provider in the NPPES registry on March 31, 2007. The provider is also known as Dr. Maryjo Vasquez Ph.D..
Where is Mary Jo Vasquez located?
Mary Jo Vasquez practices at 2335 Black Rock Tpke Hall #2, Fairfield, CT 06825. The listed phone number is (203) 816-0183.
What is Mary Jo Vasquez's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mary Jo Vasquez enrolled in Medicare?
No. Mary Jo Vasquez has opted out of Medicare through March 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mary Jo Vasquez was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Jo Puglisi Vasquez, PH.D. · NPI 1467572479
Clinical provider in Fairfield, Connecticut. Individual provider, active in the CMS NPPES registry since March 31, 2007.
## Identity
- **NPI:** 1467572479 (Entity type: Individual)
- **Enumerated:** March 31, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3188 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2335 BLACK ROCK TPKE, HALL #2, Fairfield, CT 06825-3220
- **Phone:** (203) 816-0183
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 12, 2028); services are provided under private contract
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** May 16, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1467572479) · Data from the CMS NPPES public registry.