Mark Palmisano, PHD P a

Primary specialty

PsychologistTaxonomy code 103T00000X

License

03154 Issued in MD

Legal business name

MARK PALMISANO, PHD P A

Practice address

801 Toll House Ave
Unit a-3
Frederick, MD 21701-4564

Phone

(301) 788-2989

Fax

(301) 663-1412

NPI assigned

Apr 3, 2007

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Palmisano, PHD

Title

Provider

Phone

(301) 788-2989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1366563322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE",
            "address_2": "UNIT A-3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014564",
            "telephone_number": "301-788-2989",
            "fax_number": "301-663-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE",
            "address_2": "UNIT A-3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014564",
            "telephone_number": "301-788-2989",
            "fax_number": "301-663-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PALMISANO, PHD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "PALMISANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-788-2989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Riley Psychotherapy LLC
• Maritza Marin, LGSW
• Richard Javier Marin
• Natalia Marina, M.D.
• Caprice Marjenin, D.D.S.
• Mark Springston, PHD
• Mark X Coyne MD PA
• Kerri Marie Markley, OT
• Dara Markowitz, MSW. LCSW-C
• Suzanne Markowitz

• Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.