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Dr. Michael Travisano , PsyD, PSYCHOLOGIST

Psychologist β€’ Newark, DE

Active NPI 1588285159 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

100 Commerce Dr Ste 300
Newark, DE 197132878

Call 3022241400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 Commerce Dr Ste 300

Newark, DE 197132878

Telephone 3022241400
Organization at the Same NPPES Address or Phone
Michelle M. Manasseri Psyd Llc Facility NPI 1295139251

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Columbia, SC. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mid-Atlantic Behavioral Health, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Travisano has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Travisano as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Newark and Delaware

34 active clinicians are listed under Psychologist with a practice address in Newark, DE (151 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

41.2% of these 34 clinicians have the CMS telehealth indicator.

47.1% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-28
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES DE B1-0011432

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES SC 1780

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State Of Delaware Division Of Professional Regulation
B1-0011432 (DE)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20240708000372

Enrollment State Jurisdiction

DE

PECOS Control ID

5193177194

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mid-Atlantic Behavioral Health, Llc

100 Commerce Dr, Newark, DE 197132878

Phone: 3022241400

Secondary Practice Locations

1024 Wildwood Centre Dr Ste A

Columbia, SC 292298400

Phone: 8037814265

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Danielle Boyer , LCSW

Social Worker - Clinical

NPI 1063863173

Licensed Clinical Social Worker

NPI 1093032690

Doctor of Philosophy (Ph.D.), Doctor of Psychology (Psy.D.)

Sheila Cannon , PMHNP, PMHCNS-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003859158

Psychiatric-Mental Health Nurse Practitioner, PMHCNSBC

Margaret Coen Rollins , MSW, LCSW-C

Social Worker - Clinical

NPI 1407193212

Master of Social Work, Licensed Clinical Social Worker - Certified

Seth Crossan , CRNP

Nurse Practitioner

NPI 1336539881

Certified Registered Nurse Practitioner

Kathleen Deford , LCSW, MSW

Social Worker - Clinical

NPI 1679877864

Licensed Clinical Social Worker, Master of Social Work

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location May 21, 2024

Registered at 100 COMMERCE DR STE 300, NEWARK, DE 197132878 (Tel: 3022241400)

πŸ“
Updated Business Mailing Address May 21, 2024

Registered at 100 COMMERCE DR STE 300, NEWARK, DE 197132878

πŸ‘€
Provider Name / Credentials Updated May 21, 2024

Recorded as MICHAEL TRAVISANO, PSY.D., PSYCHOLOGIST

πŸ“
Updated Practice Location March 07, 2023

Registered at 1024 WILDWOOD CENTRE DR STE A, COLUMBIA, SC 292298400 (Tel: 8037814265)

πŸ“
Updated Business Mailing Address March 07, 2023

Registered at 1024 WILDWOOD CENTRE DR, COLUMBIA, SC 292298400 (Tel: 8037814265)

πŸ‘€
Provider Name / Credentials Updated March 07, 2023

Recorded as MICHAEL TRAVISANO, B.A., M.S., PSY.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Psychologist (license number reported to NPPES: SC 1780)

βœ…
NPI Profile Active May 05, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 05, 2020

Registered at 550 S PEORIA AVE, TULSA, OK 741203820 (Tel: 9185881900)

πŸ“
Business Mailing Address (Initial Record) May 05, 2020

Registered at 550 S PEORIA AVE, TULSA, OK 741203820 (Tel: 9185881900)

πŸ‘€
Provider Name / Credentials (Initial Record) May 05, 2020

Recorded as MICHAEL TRAVISANO, B.A., M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2020

Counselor

🟒
Initial NPI Registration & Enumeration May 05, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588285159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2020
Last Update: August 28, 2025
Sole Proprietor: No

Other Psychologists in Newark

All Psychologists in Newark

Mailing Address

100 Commerce Dr Ste 300

Newark, DE 197132878

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.