Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Maxwell, PSYD, MFT80504

Individual provider Marriage & Family Therapist · NPI 1205384401

Dr. Mark Maxwell, PSYD, MFT80504 is a Marriage & Family Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2851 Camino Del Rio S Ste 300
San Diego, CA 92108-3814
Phone: (619) 204-9513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 80504 (CA)

Record details

NPI number1205384401
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , MFT80504
Sole proprietorYes
NPI enumeratedSeptember 15, 2016
Last updated in NPPESMay 28, 2023
Certification dateMay 28, 2023

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