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Mark Wiesner, PH.D.
NPI 1205072931 · Clinical Psychologist · San Diego, CA
Mark Wiesner, PH.D. is a Clinical Psychologist provider in San Diego, CA (NPI 1205072931).
Provider details
- NPI number
- 1205072931
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5996 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5677 Oberlin Dr Ste 106
San Diego, CA 92121-1741
Phone: (858) 457-8419
Fax: (858) 457-0670
Street-level locationGet directions
Mailing address
5677 Oberlin Dr Ste 106
San Diego, CA 92121-1741
Registry dates
- Enumerated
- 2008-12-30
- Last updated
- 2008-12-30
Frequently asked questions
- What is Mark Wiesner's NPI number?
- Mark Wiesner's National Provider Identifier (NPI) is 1205072931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Wiesner's specialty?
- Mark Wiesner is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mark Wiesner located?
- Mark Wiesner's practice location on file with NPPES is 5677 Oberlin Dr Ste 106, San Diego, CA 92121-1741.
- What is Mark Wiesner's phone number?
- The practice phone number listed in the NPPES registry for Mark Wiesner is (858) 457-8419.
- Is Mark Wiesner's NPI active?
- Yes — Mark Wiesner's NPI (1205072931) is active in the NPPES registry as of the last update on 2008-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.