DR. MARK LINDEN PROHASKA (NPI# 1073663555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073663555 |
| Entity Type | Individual |
| Full Name | DR. MARK LINDEN PROHASKA |
| Credential | PH.D. |
| Practice Address |
100 Rice Mine Road Suite 303 Tuscaloosa AL 35406 |
| Practice Telephone | 2053446169 |
| Practice Fax Number | 2053446171 |
| Mailing Telephone | 2053446169 |
| Mailing Fax Number | 2053446171 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2009-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 816 | AL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 816 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 51504930 | 01 |
| Street Address |
100 RICE MINE ROAD SUITE 303 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276312 | Haley Patrick Hill | Nurse Practitioner | 100 Rice Mine Road, Suite B, Tuscaloosa, AL 35406 | 2016-02-29 |
| 1396177986 | Riverwood Pharmacy LLC | Pharmacy | 100 Rice Mine Road, Suite B, Tuscaloosa, AL 35406 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| 1497813778 | Marian Deloach | Counselor | 150 Rice Mine Rd, Suite B, Tuscaloosa, AL 35406 | 2006-12-05 |
| Find all providers in zip 35406 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174717185 | John R Goff | Clinical Neuropsychologist | 535 Jack Warner Pkwy Ne, Ste A-2, Tuscaloosa, AL 35404-5751 | 2007-09-03 |
| 1922178565 | Maria Annika Bergman | Clinical Neuropsychologist | 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404-5015 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457504 | Elaine Joy Mahoney | Clinical Neuropsychologist | 1717 6th Ave S # Src190, Birmingham, AL 35233-1801 | 2020-04-28 |
| 1669896809 | Emma Lee Peden | Clinical Neuropsychologist | 702 Carr Cir, Headland, AL 36345-1916 | 2014-02-07 |
| 1083958813 | William Jeffrey Bryson | Clinical Neuropsychologist | 250 Chateau Dr Sw Ste 145, Huntsville, AL 35801-6437 | 2012-11-16 |
| 1376893032 | Thomas Joseph Conboy | Clinical Neuropsychologist | 1200 14th St, Suite A, Phenix City, AL 36867-4907 | 2012-09-10 |
| 1295025997 | Sharon D Waltz | Clinical Neuropsychologist | 1365 Caliston Way, Pelham, AL 35124 | 2011-04-14 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1548493000 | Henry R. Griffith, Ph.d. | Clinical Neuropsychologist | 1025 23rd St S, Suite 100, Magnolia Financial Building, Birmingham, AL 35205-2499 | 2009-09-01 |
| 1497989370 | Gove Hill Memorial Hospital, Inc | Clinical Neuropsychologist | 295 South Jackson Street, Grove Hill, AL 36451-0935 | 2009-05-07 |
| 1013193010 | Joanna T Koulianos | Clinical Neuropsychologist | 22 N Florida St, Mobile, AL 36607-3108 | 2008-01-21 |
| 1093996985 | Neuropsychology Clinic | Clinical Neuropsychologist | 2804 20th Ave, Northport, AL 35476-3835 | 2007-11-19 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
Please comment or provide details below to improve the information on DR. MARK LINDEN PROHASKA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.