Individual provider Active NPI

Mark Stanley Jesinoski, PHD

  • Psychologist
  • Oceanside, CA
National Provider Identifier
1255829727
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
26433 Issued in CA
Practice address
3355 Mission Ave Ste 111
Oceanside, CA 92058-1327
Phone
(760) 810-1440
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 26433 CA Primary

Addresses

Primary practice location

3355 Mission Ave Ste 111
Oceanside, CA 92058-1327

Mailing address

709 W College St
Fallbrook, CA 92028-2867
Phone (435) 770-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Jesinoski, PHD., LLC Psychologist CurrentSince Feb 8, 2023 Accepting new patients
True North Psychological Services, Inc. Past Accepting new patients
Robert Zalewski-Zaragoza, MD, Inc Past Accepting new patients

Locations

205 N Main Ave
Fallbrook, CA 92028
Phone (858) 414-1141

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1255829727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W COLLEGE ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282867",
            "telephone_number": "435-770-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MISSION AVE STE 111",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581327",
            "telephone_number": "760-810-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESINOSKI",
        "first_name": "MARK",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.