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ROMAN PALITSKY PHD
NPI 1093692204
Psychologist - Health Service in Atlanta, GA

Active since August 19, 2025PECOS EnrolledAccepts Medicare Assignment
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329(646) 667-8250 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roman Palitsky Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMAN PALITSKY PHD (NPI 1093692204) is an individual health service provider in Atlanta, Georgia and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2022).

NPPES Registry Identity

NPI1093692204
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameROMAN PALITSKYCredential: PHD
Location Address12 EXECUTIVE PARK DR NEAtlanta, GA 30329-2206
Mailing Address1440 Clifton Rd NeAtlanta, GA 30322-1053
Phone(646) 667-8250
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2022
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1093692204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
12 EXECUTIVE PARK DR NE, Atlanta, GA 30329
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roman Palitsky Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991275950
PECOS Enrollment IDI20260531000110
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PEARL VICTORIA RYDER M.D., PH.D.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
CHRISTI N ACKER DPT, PT
Physical Therapist (Neurology)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-7777
ORLA MCQUADE FNP-C
Nurse Practitioner (Family)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444
MEGAN LEIGH GOODLIN LCSW
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (850) 591-6066
PETER ASH MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE, CHILD PSYCHIATRY, SUITE 200
ATLANTA, GA 30329
Dekalb County (404) 727-3973
KELSEY R SPRANG JONES PSYD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (859) 433-5348
BRANDI ANNE BURKE M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
ROCIO CAROLINA GARCIA SANTIBANEZ M.D.
Psychiatry & Neurology (Neuromuscular Medicine)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Palitsky's NPI number?

The NPI number for Roman Palitsky is 1093692204. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Roman Palitsky located?

Roman Palitsky practices at 12 Executive Park Dr NE, Atlanta, GA 30329. The listed phone number is (646) 667-8250.

What is Roman Palitsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Roman Palitsky enrolled in Medicare?

Yes. Roman Palitsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roman Palitsky was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.