MARISA LOUISE BERGFIELD M.A.
NPI 1225604861
Psychologist - Clinical in Providence, RI

Q: What is Marisa Bergfield's NPI number?

The NPI number for Marisa Bergfield is 1225604861. It was assigned to this individual provider in the NPPES registry on June 3, 2021. The provider is also known as Marisa Bergfield Michiels M.A..

Q: What is Marisa Bergfield's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Bergfield was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment

146 W RIVER ST STE 11A, PROVIDENCE, RI 02904(401) 793-8770(401) 793-8709 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2023, Aug 23, 2023, Jun 3, 2021 (3 updates tracked since 2021).

On this page

About Marisa Louise Bergfield M.a. NPPES

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

MARISA LOUISE BERGFIELD M.A. (NPI 1225604861) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS02209) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225604861

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARISA LOUISE BERGFIELDCredential: M.A.

Location Address146 W RIVER ST STE 11AProvidence, RI 02904-2609

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541

Phone(401) 793-8770

Fax(401) 793-8709

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 3, 2021

Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1225604861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in RI · PS02209

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

146 W RIVER ST STE 11A, Providence, RI 02904

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Other Names 1

Professional Name (2)Marisa Bergfield Michiels M.a.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Louise Bergfield M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254786023

PECOS Enrollment IDI20231013002193

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

NED HENRY GUTMAN M.D.

Internal Medicine (Cardiovascular Disease)