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Dr. Mark G Pendleton , PhD

Clinical Neuropsychologist β€’ Boulder, CO

Active NPI 1992776678 Individual Practitioner Male Practitioner
Practice location in NPPES

3015 47th Street Suite E-3
Boulder, CO 803015437

Call 3034446335 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3015 47th Street Suite E-3

Boulder, CO 803015437

Telephone 3034446335
Fax 3034439641

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boulder and Colorado

11 active clinicians are listed under Clinical Neuropsychologist with a practice address in Boulder, CO (155 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

0% of these 11 clinicians have the CMS telehealth indicator.

27.3% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinical Neuropsychologist Primary Specialty

NUCC Taxonomy Code: 103G00000X

License # reported to NPPES CO 797

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES CO 797

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.

Psychologist - Forensic

NUCC Taxonomy Code: 103TF0200X

License # reported to NPPES CO 797

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Psychologist - Rehabilitation

NUCC Taxonomy Code: 103TR0400X

License # reported to NPPES CO 797

A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
07106081 (CO)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
βœ…
NPI Profile Active July 23, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 23, 2007

Registered at 3015 47TH STREET SUITE E-3, BOULDER, CO 803015437 (Tel: 3034446335)

πŸ“
Business Mailing Address (Initial Record) July 23, 2007

Registered at 3015 47TH STREET SUITE E-3, BOULDER, CO 803015437 (Tel: 3034446335)

πŸ‘€
Provider Name / Credentials (Initial Record) July 23, 2007

Recorded as MARK PENDLETON, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2007

Clinical Neuropsychologist (license number reported to NPPES: CO 797)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2007

Psychologist (license number reported to NPPES: CO 797)

🟒
Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992776678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: July 23, 2007
Sole Proprietor: Yes

Mailing Address

3015 47th Street Suite E-3

Boulder, CO 803015437

Phone: 3034446335

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.