MARK GREGORY ISZAK PSYD NPI 1548542186

NPI Information

  • NPI: 1548542186
  • Provider Name: MARK GREGORY ISZAK, PSYD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 30150 TELEGRAPH RD STE 245
    BINGHAM FARMS, MI
    ZIP 48025
  • Phone: (800) 693-1916

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NPI Details

Mark Gregory Iszak, PSYD is a clinical psychologist in Bingham Farms, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Mark Gregory Iszak, PSYD NPI is 1548542186. 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:

30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI
ZIP 48025
Phone: (800) 693-1916
Fax: (248) 605-3525

The enumeration date for this NPI number is 9/9/2011 and was last updated on 9/20/2018.

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
1103TC0700XPsychologistClinical071008523ILLINOISNo
2103TC0700XPsychologistClinical6301014853MICHIGANYes

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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