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MAYA A MARZOUK PHD
NPI 1063167096
Psychologist - Health Service in New Haven, CT

Active since February 17, 2022PECOS Enrolled
350 GEORGE ST, NEW HAVEN, CT 06511(844) 362-9272 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Jul 29, 2024, Aug 9, 2022 and 1 more (4 updates tracked since 2022).

About Maya A Marzouk Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYA A MARZOUK PHD (NPI 1063167096) is an individual health service provider in New Haven, Connecticut, licensed in Connecticut (005358) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063167096
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameMAYA A MARZOUKCredential: PHD
Location Address350 GEORGE STNew Haven, CT 06511-6617
Mailing Address693 Watch Point DrCincinnati, OH 45230-3765
Phone(844) 362-9272
Sole ProprietorNo
Enumeration DateFebruary 17, 2022
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1063167096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in CT · 005358
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS02271 (RI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
350 GEORGE ST, New Haven, CT 06511
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4471 · Fax (401) 444-7574
Location 23333 Burnet AveCincinnati, OH 45229-3026 · Phone (513) 636-4200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya A Marzouk Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Maya Marzouk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
86 mi
Psychiatry
593 EDDY STREET
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 315 clinicians in this Medicare group
NPI 1548506793 (401) 444-7442
Rhode Island Hospital
86 mi
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIANA MENDEZ
Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (404) 990-2483
BENJAMIN COLEMAN
Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-4242
LAURA E GALLARDO
Social Worker (Clinical)
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (844) 362-9272
FAIGY MANDELBAUM MA
Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 737-4666
DR. ANTHONY BALLACHIE CIFRE PHD
Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (844) 362-9272
FELICIA CAMPBELL LCSW
Social Worker (Clinical)
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-6537
DR. ELIZABETH BAKER PH.D.
Psychologist
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 737-8854
MS. DAISY ILEANA RIVERA LCSW
Social Worker (Clinical)
350 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 737-6817

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 Maya Marzouk's NPI number?

The NPI number for Maya Marzouk is 1063167096. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Maya Marzouk located?

Maya Marzouk practices at 350 George St, New Haven, CT 06511. The listed phone number is (844) 362-9272.

What is Maya Marzouk's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Maya Marzouk enrolled in Medicare?

Yes. Maya Marzouk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maya Marzouk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maya Marzouk reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and Rhode Island Hospital (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maya Marzouk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maya Marzouk was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.