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Dr. Edward Phillip Mockus , PhD

Psychologist β€’ Boulder, CO

Active NPI 1902213655 Individual Practitioner Male Practitioner
Practice location in NPPES

5277 Manhattan Cir Ste 102
Boulder, CO 803038200

Call 7205260579 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

5277 Manhattan Cir Ste 102

Boulder, CO 803038200

Telephone 7205260579
Organization at the Same NPPES Address or Phone
Edward Mockus Phd Pllc Facility NPI 1871188458

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

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

82 active clinicians are listed under Psychologist with a practice address in Boulder, CO (991 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

12.2% of these 82 clinicians have the CMS telehealth indicator.

14.6% of these 82 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

Self-certified to NPPES: 2021-03-04
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CO 0004518

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location March 04, 2021

Registered at 5277 MANHATTAN CIR STE 102, BOULDER, CO 803038200 (Tel: 7205260579)

πŸ“
Updated Business Mailing Address March 04, 2021

Registered at 5277 MANHATTAN CIR STE 102, BOULDER, CO 803038200 (Tel: 7205260579)

πŸ‘€
Provider Name / Credentials Updated March 04, 2021

Recorded as EDWARD MOCKUS, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2021

Psychologist (license number reported to NPPES: CO 0004518)

βœ…
NPI Profile Active September 21, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 21, 2016

Registered at 1032 N LINCOLN AVE, LOVELAND, CO 805374989 (Tel: 9703103406)

πŸ“
Business Mailing Address (Initial Record) September 21, 2016

Registered at 320 W OLIVE ST, FORT COLLINS, CO 805212716 (Tel: 9703103406)

πŸ‘€
Provider Name / Credentials (Initial Record) September 21, 2016

Recorded as EDWARD MOCKUS, PH.D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2016

Psychologist (license number reported to NPPES: MD 05848)

🟒
Initial NPI Registration & Enumeration July 15, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902213655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2014
Last Update: March 04, 2021
Sole Proprietor: No

Other Psychologists in Boulder

All Psychologists in Boulder

Mailing Address

5277 Manhattan Cir Ste 102

Boulder, CO 803038200

Phone: 7205260579

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.