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MAC ANDREW JACK
NPI 1225856867
Psychologist - Clinical in Boulder, CO

Active since October 02, 2024
2919 VALMONT RD, STE 204, BOULDER, CO 80301(303) 938-1110(303) 938-1145 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mac Andrew Jack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAC ANDREW JACK (NPI 1225856867) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (CO-2847) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1225856867
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMAC ANDREW JACK
Location Address2919 VALMONT RD, STE 204Boulder, CO 80301
Mailing Address2919 Valmont Rd, Ste 204Boulder, CO 80301
Phone(303) 938-1110
Fax(303) 938-1145
Sole ProprietorNo
Enumeration DateOctober 2, 2024
✔ NPI 1225856867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · CO-2847
Definition
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.
2919 VALMONT RD, Boulder, CO 80301
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHOICE CHIROPRACTIC & WELLNESS CENTER LLC
Chiropractor
2919 VALMONT RD, SUITE 104
BOULDER, CO 80301
Boulder County (303) 442-2126
DR. MARC ANDREW ALBER D.D.S.
Dentist (General Practice)
2919 VALMONT RD, SUITE 106
BOULDER, CO 80301
Boulder County (303) 449-3132
DR. JONATHAN DAVID SCHNELLE D.C.
Chiropractor
2919 VALMONT RD, SUITE 104
BOULDER, CO 80301
Boulder County (303) 442-2126
MR. DOUGLAS CHARLES FRANK
Acupuncturist
2919 VALMONT RD, SUITE 109
BOULDER, CO 80301
Boulder County (303) 449-3114
REBECCA SCULLEY LPC
Counselor (Addiction (Substance Use Disorder))
2919 VALMONT RD, SUITE 109
BOULDER, CO 80301
Boulder County (303) 558-6400
LYNN NORBERG
Acupuncturist
2919 VALMONT RD, SUITE 109
BOULDER, CO 80301
Boulder County (303) 447-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mac Andrew Jack's NPI number?

The NPI number for Mac Andrew Jack is 1225856867. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Mac Andrew Jack located?

Mac Andrew Jack practices at 2919 Valmont Rd Ste 204, Boulder, CO 80301. The listed phone number is (303) 938-1110.

What is Mac Andrew Jack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mac Andrew Jack was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.