Mark J. Prigatano, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY001999 Issued in GA

Practice address

146 Pierce Ave
Macon, GA 31204-2871

Phone

(478) 746-2333

Fax

(478) 845-4493

NPI assigned

Aug 4, 2006

Last updated

Mar 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark J. Prigatano, PH.D.

  dba The Attention Disorders Center

  • Clinical Psychologist
  • Macon, GA
  • NPI 1467673350
  Authorized official Same address or phone
• Central Georiga Fertility Institute

  • Reproductive Endocrinology Physician
  • Macon, GA
  • NPI 1447390901

  Single Specialty

  NPD (past)
• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1063420875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042871",
            "telephone_number": "478-746-2333",
            "fax_number": "478-845-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042871",
            "telephone_number": "478-746-2333",
            "fax_number": "478-845-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIGATANO",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001999",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY001999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000730254C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Megan Price, LPC
• Lauren Price, NP-C
• Thomas William Price, MD
• Bryant Cameron Pridgen, M.D.
• Georgia Wilson Pridgen, MD
• Primary Eyecare
• Primary Pediatrics, PC
• Tanisha Andrea Primas
• Kela O'Neil Primus, PHARMD
• Christina Irene Prince, MSN, RN, FNP-BC

• Clinical Psychologist in Macon, GA
• Providers in Macon, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.