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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 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.