MARK T BARISA PH.D. NPI 1417960840

NPI Information

  • NPI: 1417960840
  • Provider Name: MARK T BARISA, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4645 AVON LN STE 285
    FRISCO, TX
    ZIP 75033
  • Phone: (972) 632-0033

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NPI Details

Mark T Barisa, PH.D. is a clinical neuropsychologist in Frisco, TX with 31 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Mark T Barisa, PH.D. NPI is 1417960840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4645 AVON LN STE 285
FRISCO, TX
ZIP 75033-609
Phone: (972) 632-0033
Fax: (214) 501-0809

The NPI 1417960840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 12/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical34011TEXASNo
2103TC1900XPsychologistCounseling34011TEXASNo
3103TE1100XPsychologistExercise & Sports34011TEXASNo
4103TH0004XPsychologistHealth34011TEXASNo
5103TR0400XPsychologistRehabilitation34011TEXASNo
6103G00000XClinical Neuropsychologist34011TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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