MARK G PENDLETON PHD
NPI 1992776678
Clinical Neuropsychologist in Boulder,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 30, 2006

Contact Information

3015 47th Street Suite E-3
Boulder,
Post Code: 80301
Phone: (303) 444-6335
Fax: (303) 443-9641

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Mark G Pendleton Phd in Boulder - Clinical Neuropsychologist

Mark G Pendleton Phd is a Clinical Neuropsychologist in Boulder, . Mark G Pendleton Phd practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Mark G Pendleton Phd is 1992776678. The last update date is 2007-07-23.

Mark G Pendleton Phd's current location address is 3015 47th Street Suite E-3, Boulder, . You can contact this provider via phone number (303) 444-6335 and fax number (303) 443-9641. The mailing address for Mark G Pendleton Phd is 3015 47th Street Suite E-3, Boulder, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992776678
Provider Name
MARK G PENDLETON PHD
Gender
Male
Entity Type
Individual
Location Address
3015 47th Street Suite E-3, Boulder,
Location Phone
(303) 444-6335
Location Fax
(303) 443-9641
Mailing Address
3015 47th Street Suite E-3, Boulder, Colorado(CO)
Mailing Phone
303-444-6335
Mailing Fax
303-443-9641
Enumeration Date
2006-01-30
Last Update Date
2007-07-23
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
-
License No.
797
License State
Colorado (CO)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 103TC0700X Clinical Psychologist

Psychologist, Clinical

797 (Colorado)
2 103TF0200X Forensic Psychologist

Psychologist, Forensic

797 (Colorado)
3 103TR0400X Rehabilitation Psychologist

Psychologist, Rehabilitation

797 (Colorado)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
07106081 MEDICAID (05) Colorado (CO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992776678
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918214712614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2918214712614
2 + 9 + 1 + 8 + 2 + 1 + 4 + 7 + 1 + 2 + 6 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 8 8

The NPI number 1992776678 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538162581 COLORADO OPEN IMAGING, LLC
Organization
Radiologic Technologist, Magnetic Resonance Imaging 1120 W SOUTH BOULDER RD
LAFAYETTE, Colorado (CO)
303-926-5466
1023011046 WILLIAM R DOVE
Individual
Psychologist 1106 N CASCADE AVE
COLORADO SPRINGS, Colorado (CO)
719-632-4812
1972506186 RODNEY KENT HUTSON
Individual
Radiology, Diagnostic Radiology PO BOX 483
PALMER LAKE, Colorado (CO)
615-440-6937
1154324168 COLORADO PROFESSIONAL MEDICAL, INC
Organization
Prosthetic/Orthotic Supplier 175 S UNION BLVD
COLORADO SPRINGS, Colorado (CO)
719-632-5075
1104829118 KENNETH BILLINGS ALLEN
Individual
Dentist, General Practice 1337 RIVERSIDE AVE
FORT COLLINS, Colorado (CO)
970-221-1658