DR. MARK B WEISBERG PH.D., ABPP
NPI 1104936913
Psychologist - Clinical in Minneapolis, MN

Q: What is Mark Weisberg's NPI number?

The NPI number for Mark Weisberg is 1104936913. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Mark Weisberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark Weisberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2006PECOS Enrolled

430 OAK GROVE ST, SUITE 407, MINNEAPOLIS, MN 55403(612) 520-9159 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Mark B Weisberg Ph.d., Abpp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK B WEISBERG PH.D., ABPP (NPI 1104936913) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP 1311) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104936913

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK B WEISBERGCredential: PH.D., ABPP

Location Address430 OAK GROVE ST, SUITE 407Minneapolis, MN 55403-3253

Mailing Address430 Oak Grove St, Suite 407Minneapolis, MN 55403-3253 · (612) 520-9159

Phone(612) 520-9159

Sole ProprietorYes

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104936913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP 1311

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

430 OAK GROVE ST, Minneapolis, MN 55403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark B Weisberg Ph.d., Abpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.