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

Individual provider Clinical Psychologist · NPI 1699001248

Dr. Mark R. Edison, PHD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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

1165 Park Ave Ste 1-B
New York, NY 10128-1210
Phone: (917) 399-5594
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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 016913-1 (NY)

Record details

NPI number1699001248
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 2, 2009
Last updated in NPPESNovember 2, 2009

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