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MARK T BARISA PH.D.
NPI 1417960840
Clinical Neuropsychologist in Frisco, TX

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
4645 AVON LN STE 285, FRISCO, TX 75033(972) 632-0033(214) 501-0809 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2021, May 16, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Mark T Barisa Ph.d. NPPES

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

MARK T BARISA PH.D. (NPI 1417960840) is an individual clinical neuropsychologist in Frisco, Texas, licensed in Texas (34011) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Frisco, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1417960840
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameMARK T BARISACredential: PH.D.
Location Address4645 AVON LN STE 285Frisco, TX 75033-1609
Mailing AddressPo Box 6001Frisco, TX 75035-0225 · (469) 400-6230
Phone(972) 632-0033
Fax(214) 501-0809
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 15, 2006
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1417960840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · 34011
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 34011 (TX)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 34011 (TX)
Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X · License 34011 (TX)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 34011 (TX)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 34011 (TX)
4645 AVON LN STE 285, Frisco, TX 75033
Open in Google Maps ↗

Secondary Practice Location 1

Location 17460 Warren Pkwy Ste 100Frisco, TX 75034-4170 · Phone (214) 469-6230 · Fax (214) 501-0809

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

Mark T Barisa Ph.d. 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 ID9032118070
PECOS Enrollment IDI20180906002628
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

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

PERFORMANCE NEUROPSYCHOLOGY PLLC
Clinic/Center
4645 AVON LN STE 285
FRISCO, TX 75033
Denton County (972) 632-0033

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 Barisa's NPI number?

The NPI number for Mark Barisa is 1417960840. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Mark Barisa located?

Mark Barisa practices at 4645 Avon Ln Ste 285, Frisco, TX 75033. The listed phone number is (972) 632-0033.

What is Mark Barisa's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Mark Barisa enrolled in Medicare?

Yes. Mark Barisa 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 Mark Barisa was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.