Performance Neuropsychology PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

34011 Issued in TX

Legal business name

PERFORMANCE NEUROPSYCHOLOGY PLLC

Practice address

4645 Avon LN Ste 285
Frisco, TX 75033-1609

Phone

(972) 632-0033

Fax

(214) 501-0809

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Mark Thomas Barisa, PHDNPI 1417960840

Title

Neuropsychologist

Phone

(469) 400-6230

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark T Barisa, PH.D.

  • Clinical Neuropsychologist
  • Frisco, TX
  • NPI 1417960840
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1770082745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "469-400-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 285",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331609",
            "telephone_number": "972-632-0033",
            "fax_number": "214-501-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "BARISA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "469-400-6230",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "34011",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "34011",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "34011",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "34011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Perez
• Ruth Mariz Mission Perez, PT
• Teahya Perez
• Teal Lynne Perez, LPC
• Perfect Balance Psychiatric Services PLLC
• Performance Orthopaedics & Sports Medicine, P.a.
• Perioperative Pain Services, PLLC
• Peripatetic Pain Partners, PLLC
• Perkins 1St Assistants LLC
• Kaylan Darlene Perkins

• Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.