DR. MARK MAXWELL PSY.D, MFT #80504
NPI 1205384401
Marriage & Family Therapist in San Diego, CA

Q: What is Mark Maxwell's NPI number?

The NPI number for Mark Maxwell is 1205384401. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Q: What is Mark Maxwell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Maxwell was last updated on May 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 15, 2016

2851 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108(619) 204-9513 Get Directions Write a Review

NPPES record last updated: May 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2023, Sep 15, 2016 (2 updates tracked since 2016).

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About Dr. Mark Maxwell Psy.d, Mft #80504 NPPES

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

DR. MARK MAXWELL PSY.D, MFT #80504 (NPI 1205384401) is an individual marriage & family therapist in San Diego, California, licensed in California (80504) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1205384401

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDR. MARK MAXWELLCredential: PSY.D, MFT #80504

Location Address2851 CAMINO DEL RIO S STE 300San Diego, CA 92108-3814

Mailing Address4334 Voltaire StSan Diego, CA 92107-1712

Phone(619) 204-9513

Sole ProprietorYes

Enumeration DateSeptember 15, 2016

Last NPPES UpdateMay 28, 20232 updates tracked since enumeration

NPPES CertifiedMay 28, 2023

✔ NPI 1205384401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 80504

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2851 CAMINO DEL RIO S STE 300, San Diego, CA 92108

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Other Providers at the Same Location NPPES 20

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

LEAH MINNEY

Marriage & Family Therapist