DR. MARK G WIESNER PH.D.
NPI 1205072931
Psychologist - Clinical in San Diego, CA

Q: What is Mark Wiesner's NPI number?

The NPI number for Mark Wiesner is 1205072931. It was assigned to this individual provider in the NPPES registry on December 30, 2008.

Q: What is Mark Wiesner'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 Wiesner was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since December 30, 2008

5677 OBERLIN DR STE 106, SAN DIEGO, CA 92121(858) 457-8419(858) 457-0670 Get Directions Write a Review

NPPES record last updated: December 30, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Mark G Wiesner Ph.d. NPPES

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

DR. MARK G WIESNER PH.D. (NPI 1205072931) is an individual clinical provider in San Diego, California, licensed in California (5996) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1205072931

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK G WIESNERCredential: PH.D.

Location Address5677 OBERLIN DR STE 106San Diego, CA 92121-1741

Mailing Address5677 Oberlin Dr Ste 106San Diego, CA 92121-1741 · (858) 457-8419 · Fax (858) 457-0670

Phone(858) 457-8419

Fax(858) 457-0670

Sole ProprietorYes

Enumeration DateDecember 30, 2008

✔ NPI 1205072931 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 CA · 5996

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.

5677 OBERLIN DR STE 106, San Diego, CA 92121

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Other Providers at the Same Location NPPES 3

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

DANIELLE EUZENT PT, DPT

Physical Therapist

5677 OBERLIN DR STE 106
SAN DIEGO, CA 92121

San Diego County (858) 457-8419

MS. KATHERINE BAUER DAHL DPT

Physical Therapist

5677 OBERLIN DR STE 106
SAN DIEGO, CA 92121

San Diego County (858) 457-8419

JILIAN BINUYA

Physical Therapist

5677 OBERLIN DR STE 106
SAN DIEGO, CA 92121

San Diego County (858) 457-8419

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 Wiesner's NPI number?

The NPI number for Mark Wiesner is 1205072931. It was assigned to this individual provider in the NPPES registry on December 30, 2008.

Where is Mark Wiesner located?

Mark Wiesner practices at 5677 Oberlin Dr Ste 106, San Diego, CA 92121. The listed phone number is (858) 457-8419.

What is Mark Wiesner'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 Wiesner was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.