Active NPI
Marissa Norman, PSYD
- Clinical Psychologist
- Bloomfield, NJ
National Provider Identifier
1801464474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100634700
- Practice address
- 65 Spruce St
Bloomfield, NJ 07003-3436 - Phone
- (201) 870-1315
- NPI assigned
- Jun 11, 2021
- Last updated
- Oct 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35S100634700 | NJ | Primary |
Addresses
Primary practice location
65 Spruce St
Bloomfield, NJ 07003-3436
Mailing address
65 Spruce St
Bloomfield, NJ 07003-3436
Phone (201) 870-1315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100634700 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1801464474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 SPRUCE ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033436",
"telephone_number": "201-870-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 SPRUCE ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033436",
"telephone_number": "201-870-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "MARISSA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100634700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
- Sandrine Nicholson-Bernard
- Catherine Spencer Nicklaus
- NJ Endodontics Group Bloomfield LLC
- NJ Physical Therapy & Rehab Center Inc (NJ Physical Therapy & Rehab Center)
- Noble Healthy Inc
- Whitney Norman, PHARMD
- North Center Drugs
- North Jersey Cardiac Rehabilitation/Fitness Center
- North Jersey Cardiovascular Consultants, LLC
- North Jersey Doulas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.