Marissa Nicole Pellegrino, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

100 Canal Pointe Blvd Ste 210
Princeton, NJ 08540-7169

Phone

(609) 895-1070

NPI assigned

Dec 12, 2006

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marissa Nicole Cafarella Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RSM Psychology Center LLCGroup PAC ID 5294774105, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RSM Psychology Center, LLC

  • Clinical Neuropsychologist
  • Princeton, NJ
  • NPI 1265446181
  Medicare reassignment Care Compare group NPD
• Enid Counseling & Diagnostic Center, Inc

  dba Enid Counseling & Diagnostics Center, Inc

  • Clinical Psychologist
  • Enid, OK
  • NPI 1124132253
  NPD (past)
• Enid Counseling and Diagnostic

  • Community/Behavioral Health Agency
  • Enid, OK
  • NPI 1720330012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1699836932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W SHORE DR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342122",
            "telephone_number": "609-737-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANAL POINTE BLVD STE 210",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407169",
            "telephone_number": "609-895-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "MARISSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "CAFARELLA",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• PDP Associates LLC (Phoenix Wellness Center)
• Ivy L Pearlstein, APN-C
• Kellan Peck, LSW
• Rhea Amruta Peddinti, LAC
• Anne Marie Pellegrino, LAC
• Peter Phillip Pellegrino, M.D.
• Kaitlyn Amber Cook Pelli, OTR/L
• Laura Peoples, LCADC, LSW
• Genevieve Pere, PH.D.
• Joy Janel Perkins, BA PCRC

• Psychologist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.