Mark Jesinoski, PHD., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MARK JESINOSKI, PHD., LLC

Practice address

205 N Main Ave
Fallbrook, CA 92028

Phone

(858) 414-1141

Fax

(888) 578-9808

NPI assigned

Feb 2, 2023

Last updated

Feb 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy O'Neal

Title

Office Manager

Phone

(858) 414-1141

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Stanley Jesinoski, PHD

  • Psychologist
  • Oceanside, CA
  • NPI 1255829727
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1356047187",
    "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": "92028",
            "telephone_number": "858-923-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MAIN AVE",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "92028",
            "telephone_number": "858-414-1141",
            "fax_number": "888-578-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JESINOSKI, PHD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-414-1141"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rae Maddock, DACM
• Natalia C. Malek, SLP
• Christine Manese, PPS
• Manfredi Chiropractic Professional Corporation
• Vanessa Manfredi, DC
• Judith Markham, RN, IBCLC
• Rhiannon Holly Martin
• Crystal Martinez, M.S. B.C.B.A
• Robert Martinez, MPT
• Joyce McClenney, PH.D.

• Psychologist in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.