Marisa Helena Victory, PSY.D., MA, MSW
NPI 1902120629ActiveIndividual· Psychologist, Clinical· Crown Point, IN
Psychologist, Clinical (PSY.D., MA, MSW) in Crown Point, Indiana, licensed in IN, OH and TX, with an NPI issued in March 2010. 519 Medicare patients in 2024, $106,317 paid; nearly all of their 53 Part D prescriptions were generic (98%).
Overview
| NPI | 1902120629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D., MA, MSW |
| Sole proprietor | Yes |
| NPI issued | Mar 24, 2010 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 20043650B | IN |
| Psychologist, Clinical | 103TC0700X | P.08524 | OH |
| Psychologist, Clinical | 103TC0700X | 39154 | TX |
| Social Worker, Clinical | 1041C0700X | S.0901121 | OH |
| Social Worker, Clinical | 1041C0700X | I.1201235 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 519 |
|---|---|
| Services billed | 2,372 across 8 procedure codes |
| Paid by Medicare | $106,317 |
Part D prescriptions in 2024
| Prescriptions (claims) | 53 · 53 30-day fills |
|---|---|
| Total drug cost | $644.48 |
| Generic share | 98% of claims |
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All 23 clinical psychologists in Crown Point · All clinical psychologists in Indiana