Mark T. Barisa, PH.D.
NPI 1417960840ActiveIndividual· Clinical Neuropsychologist· Frisco, TX
Clinical Neuropsychologist (PH.D.) in Frisco, Texas, licensed in TX, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1417960840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 15, 2006 |
| Last updated in NPPES | Dec 29, 2021 |
| Certified by provider | Dec 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 34011 | TX |
| Psychologist, Clinical | 103TC0700X | 34011 | TX |
| Psychologist, Counseling | 103TC1900X | 34011 | TX |
| Psychologist, Exercise & Sports | 103TE1100X | 34011 | TX |
| Psychologist, Health | 103TH0004X | 34011 | TX |
| Psychologist, Rehabilitation | 103TR0400X | 34011 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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