MR. MARK A BROOKS PH.D.
NPI 1053407254
Clinical Neuropsychologist in Atlanta, GA
- Individual
- Male
- Clinical Neuropsychologist
- PECOS Enrolled
About MARK BROOKS
This page provides the complete NPI Profile along with additional information for Mark Brooks, a provider established in Atlanta, Georgia with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1053407254 assigned on October 2006. The practitioner's primary taxonomy code is 103G00000X with license number PSY001250 (GA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1053407254 Verify this NPI
- Provider Name
- MR. MARK A BROOKS PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1708 PEACHTREE ST NW SUITE 400 ATLANTA, GA 30309
- Location Phone
- (404) 607-1220
- Location Fax
- (404) 607-1240
- Mailing Address
- 1708 PEACHTREE ST NW SUITE 400 ATLANTA, GA 30309
- Mailing Phone
- (404) 607-1220
- Mailing Fax
- (404) 607-1240
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY001250
- License State
- GA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | PSY7294 (FL) |
Medicare Participation & PECOS Enrollment Status
Mark Brooks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053407254, enumerated as an "individual" on October 05, 2006.
The provider is located at 1708 PEACHTREE ST NW SUITE 400 ATLANTA, GA 30309 and the phone number is (404) 607-1220.
Clinical Neuropsychologist with taxonomy code 103G00000X.