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DR. MARK C KLISCH PH.D.
NPI 1366492878
Psychologist - Clinical in Tampa, FL

Active since May 12, 2006
4100 W KENNEDY BLVD, SUITE 327, TAMPA, FL 33609(813) 288-8060(813) 288-8068 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark C Klisch Ph.d. NPPES

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

DR. MARK C KLISCH PH.D. (NPI 1366492878) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY3077) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1366492878
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK C KLISCHCredential: PH.D.
Location Address4100 W KENNEDY BLVD, SUITE 327Tampa, FL 33609-2288
Mailing Address4100 W Kennedy Blvd, Suite 327Tampa, FL 33609-2288 · (813) 288-8060 · Fax (813) 288-8068
Phone(813) 288-8060
Fax(813) 288-8068
Sole ProprietorYes
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1366492878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY3077
Definition
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PY3077 (FL)
4100 W KENNEDY BLVD, Tampa, FL 33609
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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.

MS. KEESHA MONAIE SULLIVAN LCSW
Social Worker (Clinical)
4100 W KENNEDY BLVD, SUITE 327
TAMPA, FL 33609
Hillsborough County (727) 692-7364
SUZANNE MICHELE WILLIAMS R.N.
Registered Nurse
4100 W KENNEDY BLVD, 114
TAMPA, FL 33609
Hillsborough County (813) 639-1915
TOTAL VITALITY MEDICAL GROUP
Non-Pharmacy Dispensing Site
4100 W KENNEDY BLVD, SUITE 114
TAMPA, FL 33609
Hillsborough County (813) 283-1910
MILLYAN CABRERA, LMHC, RPT
Counselor (Mental Health)
4100 W KENNEDY BLVD, SUITE 120
TAMPA, FL 33609
Hillsborough County (813) 391-3610
KATHERINE MARGARET ROTH LCSW
Social Worker (Clinical)
4100 W KENNEDY BLVD, SUITE 326
TAMPA, FL 33609
Hillsborough County (248) 761-3284
MICHAELA JOY KEARNEY LCSW
Social Worker (Clinical)
4100 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (727) 415-3848
FOUNDATIONS FOR GROWTH, PLLC
Social Worker (Clinical)
4100 W KENNEDY BLVD, SUITE 326
TAMPA, FL 33609
Hillsborough County (813) 773-5767
LYNN G ALLEN LMHC, LMFT
Counselor (Mental Health)
4100 W KENNEDY BLVD, SUITE 226
TAMPA, FL 33609
Hillsborough County (813) 480-2401

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 Mark Klisch's NPI number?

The NPI number for Mark Klisch is 1366492878. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Mark Klisch located?

Mark Klisch practices at 4100 W Kennedy Blvd Suite 327, Tampa, FL 33609. The listed phone number is (813) 288-8060.

What is Mark Klisch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mark Klisch was last updated on February 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.