DR. MARISSA ANN BIVONA PHD
NPI 1740047760
Psychologist in New Haven, CT
About Dr. Marissa Ann Bivona Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARISSA ANN BIVONA PHD (NPI 1740047760) is an individual psychologist in New Haven, Connecticut, licensed in Connecticut (005144) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Marissa Ann Bivona Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Marissa Bivona reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
New Haven, CT 06504
- Reassigned Medicare billing, Connecticut enrollment
- 130 clinicians in this Medicare group
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.
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
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 Marissa Bivona's NPI number?
The NPI number for Marissa Bivona is 1740047760. It was assigned to this individual provider in the NPPES registry on March 5, 2024.
Where is Marissa Bivona located?
Marissa Bivona practices at 350 George St, New Haven, CT 06511. The listed phone number is (203) 823-6571.
What is Marissa Bivona's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Marissa Bivona enrolled in Medicare?
Yes. Marissa Bivona is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marissa Bivona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Bivona reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Yale New Haven Hospital (New Haven, CT). 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 Marissa Bivona'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 Marissa Bivona was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.