Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Powless, PHD

Individual provider Psychologist · NPI 1780969238

Dr. Mark Powless, PHD is a Psychologist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1711 S 11th St
Milwaukee, WI 53204-3310
Phone: (414) 383-9526
Fax: (414) 469-2719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2967-57 (WI)
Psychologist Taxonomy 103T00000X · Licence 380260 (WI)

Record details

NPI number1780969238
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESSeptember 9, 2014
Mailing address6850 South Dory Drive, Franklin, WI 53132

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