Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992776678 Individual Practitioner Male Practitioner

Dr. Mark G Pendleton , PhD

Clinical Neuropsychologist • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Pendleton, PhD is a registered healthcare professional specializing in Clinical Neuropsychologist in Boulder, CO. Practice services are available at 3015 47TH STREET SUITE E-3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3015 47th Street Suite E-3

Boulder, CO 803015437

Telephone 3034446335
Fax 3034439641

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Neuropsychologist in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Boulder, CO (162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Clinical Neuropsychologist Primary Specialty

NUCC Taxonomy Code: 103G00000X

State License 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

State License 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

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07106081 (CO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
NPI Profile Active July 23, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2007

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

📍
Updated Business Mailing Address July 23, 2007

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

👤
Provider Name / Credentials Updated July 23, 2007

Recorded as MARK PENDLETON, PHD

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

Clinical Neuropsychologist (License #797 in CO)

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

Psychologist (License #797 in CO)

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Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.