Marisa Louise Bergfield, M.A.
NPI 1225604861ActiveIndividual· Psychologist, Clinical· Providence, RI
Psychologist, Clinical (M.A.) with Lifespan Physician Group Inc and 1 other group, practicing in Providence, Rhode Island. Enrolled in Medicare as practitioner - clinical psychologist. Lists Rhode Island Hospital as a hospital affiliation.
Overview
| NPI | 1225604861 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. |
| Sole proprietor | No |
| NPI issued | Jun 3, 2021 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PS02209 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (RI) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
- Rhode Island HospitalProvidence, RI · 437 clinicians
Hospital affiliation
- Rhode Island HospitalProvidence, RI
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All 269 clinical psychologists in Providence · All clinical psychologists in Rhode Island