DR. JACOB MARC POMERANTZ PH.D. NPI 1316090483

NPI Information

NPI: 1316090483
Provider Name: DR. JACOB MARC POMERANTZ, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
8670 WOLFF CT
SUITE 130
WESTMINSTER, CO
ZIP 80031
Phone: (720) 971-9369
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DR. Jacob Marc Pomerantz, PH.D. is a clinical neuropsychologist in Westminster, CO. The provider is 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. DR. Jacob Marc Pomerantz, PH.D. NPI is 1316090483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8670 WOLFF CT
SUITE 130
WESTMINSTER, CO
ZIP 80031-956
Phone: (720) 971-9369
Fax: (303) 430-5306

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		2064	COLORADO	Yes
2	103TC0700X	Psychologist	Clinical	2064	COLORADO	X
3	103TR0400X	Psychologist	Rehabilitation	2064	COLORADO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S19580	MEDICARE UPIN	COLORADO
2	04142246	MEDICAID	COLORADO
3	96026	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
4	07020647	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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