Marc Isralsky, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1090 Issued in GA

Legal business name

MARC ISRALSKY, PC

Doing business as

Marc Isralsky,Ph.D.

Practice address

840 Church St NE
BLDG. F
Marietta, GA 30060-8936

Phone

(770) 428-8417

Fax

(770) 565-3090

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marc Isralsky, PH.D.

Title

Psychologist

Phone

(770) 428-8417

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marc Isralsky,Ph.D. Doing business as

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780617159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 CHURCH ST NE",
            "address_2": "BLDG. F",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608936",
            "telephone_number": "770-428-8417",
            "fax_number": "770-565-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 CHURCH ST NE",
            "address_2": "BLDG. F",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608936",
            "telephone_number": "770-428-8417",
            "fax_number": "770-565-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC ISRALSKY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISRALSKY",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-428-8417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00341404A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marc Isralsky,Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Anne Manuel, NP
• Alisa J Manulkin, PHD
• Carolina Manzano, RBT
• Yumei Manzano, PA-C
• Map Eyes LLC (Eyes On Providence)
• Marc J Kornfield MD PC
• Marc Klein M.D. P.C.
• Kerbie Marc, LPC
• Loica Christina Marc, R.D.
• Marcantel-Nugent, LLC (Attentive Care)

• Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.