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

Roman Palitsky, PHD

Individual provider Health Service Psychologist · NPI 1093692204

Roman Palitsky, PHD is a Clinical Psychologist in Atlanta, Georgia. Graduated from Warren Alpert Medical School of Brown University in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
4
Trained at
Warren Alpert Medical School of Brown University
In the registry since
2025
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

12 Executive Park Dr NE
Atlanta, GA 30329-2206
Phone: (646) 667-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X

Record details

NPI number1093692204
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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