DR. MARISSA ANN BIVONA PHD
NPI 1740047760
Psychologist in New Haven, CT

Active since March 05, 2024PECOS Enrolled
350 GEORGE ST, NEW HAVEN, CT 06511(203) 823-6571 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, Mar 5, 2024 (2 updates tracked since 2024).

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

NPI1740047760
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARISSA ANN BIVONACredential: PHD
Location Address350 GEORGE STNew Haven, CT 06511-6617
Mailing Address350 George StNew Haven, CT 06511-6617
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 5, 2024
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1740047760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CT · 005144
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
350 GEORGE ST, New Haven, CT 06511

Secondary Practice Locations 2

Location 1633 Middlesex TpkeOld Saybrook, CT 06475-1220 · Phone (860) 388-8300
Location 21 Long Wharf DrNew Haven, CT 06511-5991 · Phone (877) 925-3637

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).

PECOS PAC ID4183112477
PECOS Enrollment IDI20251020000716
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 Marissa Bivona reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
General Acute Care Hospital
20 YORK ST
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.

Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
Psychologist (Health Service)
350 GEORGE ST
NEW HAVEN, CT 06511
Social Worker (Clinical)
350 GEORGE ST
NEW HAVEN, CT 06511
Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
Student in an Organized Health Care Education/Training Program
350 GEORGE ST
NEW HAVEN, CT 06511
Social Worker (Clinical)
350 GEORGE ST
NEW HAVEN, CT 06511
Psychologist
350 GEORGE ST
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.