Marissa Norman, PsyD
Psychologist, Clinical in Bloomfield, NJ. Individual provider (NPI-1).
NPI number1801464474
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1801464474
- Entity type
- Individual (NPI-1)
- Name
- Marissa Norman
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2021
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 35S100634700 | NJ | Yes |
Practice location
65 Spruce StBloomfield, NJ 07003-3436
Phone 201-870-1315
Mailing address
65 Spruce StBloomfield, NJ 07003-3436
Phone 201-870-1315
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Clinical Psychologist providers in Bloomfield · All 1,099 providers in Bloomfield
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