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MARK G PENDLETON PHD
NPI 1992776678
Clinical Neuropsychologist in Boulder, CO

Active since January 30, 2006
3015 47TH STREET SUITE E-3, BOULDER, CO 80301(303) 444-6335(303) 443-9641 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark G Pendleton Phd NPPES

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

MARK G PENDLETON PHD (NPI 1992776678) is an individual clinical neuropsychologist in Boulder, Colorado, licensed in Colorado (797) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1992776678
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameMARK G PENDLETONCredential: PHD
Location Address3015 47TH STREET SUITE E-3Boulder, CO 80301-5437
Mailing Address3015 47th Street Suite E-3Boulder, CO 80301-5437 · (303) 444-6335 · Fax (303) 443-9641
Phone(303) 444-6335
Fax(303) 443-9641
Sole ProprietorYes
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 23, 2007
✔ NPI 1992776678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CO · 797
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 797 (CO)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 797 (CO)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 797 (CO)
3015 47TH STREET SUITE E-3, Boulder, CO 80301
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Other Identifiers 2

Medicare ID-Type Unspecified82216CO
Medicaid07106081CO

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 Mark Pendleton's NPI number?

The NPI number for Mark Pendleton is 1992776678. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Mark Pendleton located?

Mark Pendleton practices at 3015 47th Street Suite E-3, Boulder, CO 80301. The listed phone number is (303) 444-6335.

What is Mark Pendleton's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Mark Pendleton was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.