MEDICARE: DR. MARISSA NICOLE PELLEGRINO PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1699836932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARISSA NICOLE PELLEGRINO PH.D.

Provider Business Mailing Address
First Line	:	45 W SHORE DR
Second Line	:
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2122
Country	:	US
Telephone Number	:	609-737-6896
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CANAL POINTE BLVD STE 210
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	609-895-1070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	12/14/2023

Similar Medicare Providers

1114690997 — ONEWELL OF NEW JERSEY
Practice Location Address:

100 CANAL POINTE BLVD STE 209
PRINCETON, NJ
08540-7169

Practice Phone: 717-808-6179
Practice Fax:

1265446181 — RSM PSYCHOLOGY CENTER, LLC
Practice Location Address:

100 CANAL POINTE BLVD STE 210
PRINCETON, NJ
08540-7169

Practice Phone: 609-895-1070
Practice Fax: 609-896-2030

1679227946 — DR. BRIDGET MAYER PSYD
Practice Location Address:

100 CANAL POINTE BLVD STE 210
PRINCETON, NJ
08540-7169

Practice Phone: 609-895-1070
Practice Fax: 609-896-2030

1972390854 — DR. KAITLIN ELIZABETH RIEGLER PHD
Practice Location Address:

100 CANAL POINTE BLVD STE 210
PRINCETON, NJ
08540-7169

Practice Phone: 609-895-1070
Practice Fax:

1851242432 — DR. JENNA LYNN DAMICO PH.D.
Practice Location Address:

601 EWING ST STE C2
PRINCETON, NJ
08540-2756

Practice Phone: 856-220-9672
Practice Fax: 856-673-0630

1295107183 — SPANDANA NALLAPATI MD
Practice Location Address:

3495 US HIGHWAY 1 STE 34
PRINCETON, NJ
08540-5933

Practice Phone: 640-225-3072
Practice Fax: 609-228-6610

Directions to “ DR. MARISSA NICOLE PELLEGRINO PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.