DR. MARK B WEISBERG PH.D., ABPP
NPI 1104936913
Psychologist - Clinical in Minneapolis, MN
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 has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Mark B Weisberg Ph.d., Abpp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2010 through July 1, 2028.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55403
MINNEAPOLIS, MN 55403
MINNEAPOLIS, MN 55403
MINNEAPOLIS, MN 55403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Mark Weisberg located?
Mark Weisberg practices at 430 Oak Grove St Suite 407, Minneapolis, MN 55403. The listed phone number is (612) 520-9159.
What is Mark Weisberg's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mark Weisberg enrolled in Medicare?
No. Mark Weisberg has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mark Weisberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mark B Weisberg, PH.D., ABPP · NPI 1104936913
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1104936913 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** LP 1311 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 430 OAK GROVE ST, SUITE 407, Minneapolis, MN 55403-3253
- **Phone:** (612) 520-9159
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1104936913) · Data from the CMS NPPES public registry.