DR. MARISSA NICOLE PETERSEN-COLEMAN PSYD.
NPI 1528401759
Psychologist - Clinical in Burlington, VT

Q: What is Marissa Petersen-coleman's NPI number?

The NPI number for Marissa Petersen-coleman is 1528401759. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Marissa Petersen-coleman's specialty?

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

Active since April 08, 2013PECOS Enrolled

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-3634 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Marissa Nicole Petersen-coleman Psyd. NPPES

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

DR. MARISSA NICOLE PETERSEN-COLEMAN PSYD. (NPI 1528401759) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (048.0132241) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528401759

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARISSA NICOLE PETERSEN-COLEMANCredential: PSYD.

Location Address111 COLCHESTER AVEBurlington, VT 05401

Mailing Address6020 Dawson Blvd, INorcross, GA 30093-1229 · (770) 662-0249

Phone(802) 847-3634

Sole ProprietorNo

Enumeration DateApril 8, 2013

Last NPPES UpdateAugust 20, 2018

✔ NPI 1528401759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in VT · 048.0132241✔ Licensed in GA · PSY003680

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.

111 COLCHESTER AVE, Burlington, VT 05401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 (PECOS)

Dr. Marissa Nicole Petersen-coleman Psyd. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$168.48 typical visit price

range $55.80 – $168.48

Typical copayment $42.12 (range $13.95 – $42.12)

Most-billed visit code 99205

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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 20

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

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

RICHARD BOHLING CAROZZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)