Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225856867 Individual Practitioner Male Practitioner

Mac Andrew Jack

Psychologist - Clinical • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Mac Andrew Jack is a registered healthcare professional specializing in Psychologist - Clinical in Boulder, CO. Practice services are available at 2919 VALMONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2919 Valmont Rd
Ste 204

Boulder, CO 80301

Telephone 3039381110
Fax 3039381145
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.4 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
121 Specialists

Practicing in Boulder, CO (1712 Statewide)

Telehealth Adoption Rate
7.4% 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

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License CO CO-2847

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1114629714

Doctor of Osteopathic Medicine (D.O.)

Ashley Zemlicka , AGNP-C

Nurse Practitioner

NPI 1316809098

Adult-Gerontology Nurse Practitioner (Certified)

Laura Hundemann , PA-C

Physician Assistant

NPI 1386919793

Physician Assistant (Certified)

Cathy Summer , LCSW

Social Worker - Clinical

NPI 1609426469

Licensed Clinical Social Worker

Raeann Smith , NP

Nurse Practitioner - Adult Health

NPI 1720719578

Nurse Practitioner

Dr. Anne Giesen , DO

Family Medicine - Geriatric Medicine

NPI 1851408926

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2024

Registered at 2919 VALMONT RD, STE 204, BOULDER, CO 80301 (Tel: 3039381110)

📍
Updated Business Mailing Address October 02, 2024

Registered at 2919 VALMONT RD, STE 204, BOULDER, CO 80301

👤
Provider Name / Credentials Updated October 02, 2024

Recorded as MAC ANDREW JACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2024

Psychologist (License #CO-2847 in CO)

🟢
Initial NPI Registration & Enumeration October 02, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225856867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2024
Last Update: October 02, 2024
Sole Proprietor: No

Mailing Address

2919 Valmont Rd, Ste 204

Boulder, CO 80301

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.