MR. MARK A BROOKS PH.D.
NPI 1053407254
Clinical Neuropsychologist in Atlanta, GA

Active since October 05, 2006PECOS Enrolled
1708 PEACHTREE ST NW, SUITE 400, ATLANTA, GA 30309(404) 607-1220(404) 607-1240 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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)
1103G00000XBehavioral 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.

Psychologist
1708 PEACHTREE ST NW, SUITE 505
ATLANTA, GA 30309
Marriage & Family Therapist
1708 PEACHTREE ST NW, STE. 505
ATLANTA, GA 30309
Psychologist
1708 PEACHTREE ST NW, SUITE 305
ATLANTA, GA 30309
Psychologist (Clinical)
1708 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Marriage & Family Therapist
1708 PEACHTREE ST NW, SUITE 505
ATLANTA, GA 30309
Psychologist
1708 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Counselor (Professional)
1708 PEACHTREE ST NW, SUITE 525
ATLANTA, GA 30309
Marriage & Family Therapist
1708 PEACHTREE ST NW, SUITE 505
ATLANTA, GA 30309
Psychologist
1708 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Psychologist (Clinical)
1708 PEACHTREE ST NW, SUITE 530
ATLANTA, GA 30309
Dietitian, Registered
1708 PEACHTREE ST NW, STE 525
ATLANTA, GA 30309
Marriage & Family Therapist
1708 PEACHTREE ST NW, SUITE 530
ATLANTA, GA 30309
Psychologist (Clinical)
1708 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Marriage & Family Therapist
1708 PEACHTREE ST NW, SUITE 530
ATLANTA, GA 30309
Psychologist (Counseling)
1708 PEACHTREE ST NW
ATLANTA, GA 30309
Social Worker
1708 PEACHTREE ST NW, SUITE 204
ATLANTA, GA 30309
Counselor (Mental Health)
1708 PEACHTREE ST NW, 204
ATLANTA, GA 30309
Social Worker (Clinical)
1708 PEACHTREE ST NW, SUITE 425
ATLANTA, GA 30309
Psychologist (Clinical Child & Adolescent)
1708 PEACHTREE ST NW, SUITE 530
ATLANTA, GA 30309
Student in an Organized Health Care Education/Training Program
1708 PEACHTREE ST NW
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.