Marissa Ann Bivona, PHD
NPI 1740047760ActiveIndividual· Psychologist· New Haven, CT
Psychologist (PHD) in New Haven, Connecticut, licensed in CT, with an NPI issued in March 2024. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1740047760 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 5, 2024 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 005144 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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