DR. MARK JEFFREY VIGIL DOMBECK PH.D NPI 1689019812

NPI Information

  • NPI: 1689019812
  • Provider Name: DR. MARK JEFFREY VIGIL DOMBECK, PH.D
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1402 PARK ST STE G
    ALAMEDA, CA
    ZIP 94501
  • Phone: (510) 900-5123

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NPI Details

DR. Mark Jeffrey Vigil Dombeck, PH.D is a clinical psychologist in Alameda, CA with 30 years of experience. The provider is 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. DR. Mark Jeffrey Vigil Dombeck, PH.D NPI is 1689019812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1402 PARK ST STE G
ALAMEDA, CA
ZIP 94501-562
Phone: (510) 900-5123
Fax: (888) 974-4218

The NPI 1689019812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/1/2013 and was last updated on 11/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistPSY25695CALIFORNIANo
2103TB0200XPsychologistCognitive & BehavioralPSY25695CALIFORNIANo
3103TC0700XPsychologistClinicalPSY25695CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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