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

Dr. Mark William Jacobson, PHD

Individual provider Clinical Neuropsychologist · NPI 1194837807

Dr. Mark William Jacobson, PHD is a Clinical Neuropsychologist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4103 1st Ave
San Diego, CA 92103-2024
Phone: (619) 296-8546
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY16985 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY16985 (CA)

Record details

NPI number1194837807
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 11, 2025

Other providers in San Diego