DR. MARK JEFFREY VIGIL DOMBECK PH.D
NPI 1689019812
Psychologist - Clinical in Alameda, CA

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment
1402 PARK ST STE G, ALAMEDA, CA 94501(510) 900-5123(888) 974-4218 Get Directions Write a Review

NPPES record last updated: November 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2017, Feb 20, 2016 (2 updates tracked since 2016).

About Dr. Mark Jeffrey Vigil Dombeck Ph.d NPPES

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

DR. MARK JEFFREY VIGIL DOMBECK PH.D (NPI 1689019812) is an individual clinical provider in Alameda, California, licensed in California (PSY25695) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1689019812
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK JEFFREY VIGIL DOMBECKCredential: PH.D
Location Address1402 PARK ST STE GAlameda, CA 94501-4562
Mailing Address1402 Park St Ste GAlameda, CA 94501-4562 · (510) 900-5123 · Fax (888) 974-4218
Fax(888) 974-4218
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 1, 2013
Last NPPES UpdateNovember 19, 20172 updates tracked since enumeration
NPI 1689019812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY25695
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 ListedPsychologistTaxonomy 103T00000X · License PSY25695 (CA)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY25695 (CA)
1402 PARK ST STE G, Alameda, CA 94501

Other Names 1

Former Name (1)Mark Jeffrey Dombeck Ph.d

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Jeffrey Vigil Dombeck Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779706080
PECOS Enrollment IDI20140513002211
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 94501 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Vigil Dombeck's NPI number?

The NPI number for Mark Vigil Dombeck is 1689019812. It was assigned to this individual provider in the NPPES registry on May 1, 2013. The provider is also known as Mark Jeffrey Dombeck Ph.D.

Where is Mark Vigil Dombeck located?

Mark Vigil Dombeck practices at 1402 Park St Ste G, Alameda, CA 94501. The listed phone number is (510) 900-5123.

What is Mark Vigil Dombeck's specialty?

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

Is Mark Vigil Dombeck enrolled in Medicare?

Yes. Mark Vigil Dombeck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Vigil Dombeck was last updated on November 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.