Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Travisano, PSYD, PSYCHOLOGIST

Individual provider Psychologist · NPI 1588285159

Michael Travisano, PSYD, PSYCHOLOGIST is a Clinical Psychologist in Newark, Delaware. Qualified in 2021, 5 years ago. Practices with Mid-Atlantic Behavioral Health, LLC, a 84-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware and South Carolina.

Years since qualifying
5
Licensed in
DE, SC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

100 Commerce Dr Ste 300
Newark, DE 19713-2878
Phone: (302) 224-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1024 Wildwood Centre Dr Ste A, Columbia, SC 29229-8400 — (803) 781-4265

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence B1-0011432 (DE)
Psychologist Taxonomy 103T00000X · Licence 1780 (SC)

Record details

NPI number1588285159
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , PSYCHOLOGIST
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mid-Atlantic Behavioral Health, Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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