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DR. MARK WILLIAM JACOBSON PH.D.
NPI 1194837807
Psychologist - Clinical in San Diego, CA

Active since August 31, 2006
4103 1ST AVE, SAN DIEGO, CA 92103(619) 296-8546 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark William Jacobson Ph.d. NPPES

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

DR. MARK WILLIAM JACOBSON PH.D. (NPI 1194837807) is an individual clinical provider in San Diego, California, licensed in California (PSY16985) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1194837807
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK WILLIAM JACOBSONCredential: PH.D.
Location Address4103 1ST AVESan Diego, CA 92103-2024
Mailing Address4103 1st AveSan Diego, CA 92103-2024 · (619) 296-8546
Phone(619) 296-8546
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1194837807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY16985
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY16985 (CA)
4103 1ST AVE, San Diego, CA 92103
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID BOBROW, M.D., A MEDICAL CORP
Psychiatry & Neurology (Psychiatry)
4103 1ST AVE
SAN DIEGO, CA 92103
San Diego County (619) 871-8463
DAVID MATHEW BOBROW
Psychiatry & Neurology (Psychiatry)
4103 1ST AVE
SAN DIEGO, CA 92103
San Diego County (619) 683-7899

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 Jacobson's NPI number?

The NPI number for Mark Jacobson is 1194837807. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Jacobson located?

Mark Jacobson practices at 4103 1st Ave, San Diego, CA 92103. The listed phone number is (619) 296-8546.

What is Mark Jacobson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Jacobson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.