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JULIE MACK, PH.D., P.C.
NPI 1750613030
Psychologist - Clinical in Loveland, CO

Active since February 11, 2010
2500 ROCKY MTN AVE, SUITE 310, LOVELAND, CO 80538(970) 227-2740(970) 221-3730 Get Directions Write a Review

NPPES record last updated: April 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julie Mack, Ph.d., P.c. NPPES

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

JULIE MACK, PH.D., P.C. (NPI 1750613030) is a healthcare organization registered as a clinical in Loveland, Colorado and active in the NPI registry since February 2010. The organization lists Julie Mack, President, as its authorized official.

NPPES Registry Identity

NPI1750613030
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJULIE MACK, PH.D., P.C.
Location Address2500 ROCKY MTN AVE, SUITE 310Loveland, CO 80538-9004
Mailing AddressPo Box 2086Fort Collins, CO 80522-2086 · (970) 221-3456 · Fax (970) 221-3730
Phone(970) 227-2740
Fax(970) 221-3730
Organization SubpartNo
Authorized OfficialJulie MackPresident · (970) 227-2740
Enumeration DateFebruary 11, 2010
Last NPPES UpdateApril 8, 2010
✔ NPI 1750613030 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 · 2326
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.
2500 ROCKY MTN AVE, Loveland, CO 80538
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Mack, Ph.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20100701000413Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Julie Mack, Ph.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Julie Mack, PH.D.
Clinical Psychologist
NPI 1417000902
1816 DUCHESS DR
Longmont, CO 80501
(970) 227-2740
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Julie Mack, Ph.D., P.C.'s NPI number?

The NPI number for Julie Mack, Ph.D., P.C. is 1750613030. It was assigned to this organization in the NPPES registry on February 11, 2010.

Where is Julie Mack, Ph.D., P.C. located?

Julie Mack, Ph.D., P.C. is located at 2500 Rocky Mtn Ave Suite 310, Loveland, CO 80538. The listed phone number is (970) 227-2740.

What is Julie Mack, Ph.D., P.C.'s specialty?

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

Is Julie Mack, Ph.D., P.C. enrolled in Medicare?

Yes. Julie Mack, Ph.D., P.C. is registered in the Medicare PECOS enrollment system.

When is Julie Mack, Ph.D., P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Julie Mack, Ph.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Julie Mack, Ph.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Julie Mack, Ph.D., P.C. was last updated on April 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.