DR. JACOB MARC POMERANTZ (NPI# 1316090483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316090483 |
| Entity Type | Individual |
| Full Name | DR. JACOB MARC POMERANTZ |
| Credential | PH.D. |
| Practice Address |
8670 Wolff Ct Suite 130 Westminster CO 80031-6956 |
| Practice Telephone | 7209719369 |
| Practice Fax Number | 3034305306 |
| Mailing Telephone | 7209719369 |
| Mailing Fax Number | 3034305306 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 2064 | CO | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2064 | CO | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
2064 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04142246 | 05 | |
| CO | 07020647 | 05 |
| Street Address |
8670 WOLFF CT SUITE 130 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80031-6956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609814979 | Nancy Mlynarczyk | Nurse Practitioner | 8670 Wolff Ct, 240, Westminster, CO 80031 | 2006-06-02 |
| 1720598121 | Janice Lin | Occupational Therapist | 8670 Wolff Ct, Westminster, CO 80031-6956 | 2017-10-11 |
| 1144742438 | Cynthia Taylor | Speech-Language Pathologist | 8670 Wolff Ct, Westminster, CO 80031-6956 | 2017-07-09 |
| 1912430075 | Andrea Buus | Occupational Therapist | 8670 Wolff Ct, Westminster, CO 80031-6956 | 2017-04-06 |
| 1063872414 | Kristen Carpenter | Physical Therapist | 8670 Wolff Ct, #115, Westminster, CO 80031-6956 | 2016-02-27 |
| 1174902464 | Andrea Oliveira | Physical Therapist | 8670 Wolff Ct, Building 8, Suite 115, Westminster, CO 80031-6956 | 2015-05-20 |
| 1033506993 | Wendy Leifheit | Physical Therapist | 8670 Wolff Ct, #115, Westminster, CO 80031-6956 | 2015-04-17 |
| 1013300300 | Stephanie Antony | Physical Therapist | 8670 Wolff Ct, Bldg 8, Ste 115, Westminster, CO 80031-6956 | 2015-03-10 |
| 1245665504 | Jean M. Pruitt | Physical Therapist | 8670 Wolff Ct, Suite 115, Westminster, CO 80031-6956 | 2013-09-05 |
| 1982980496 | Debrah L Falk | Physical Therapist | 8670 Wolff Ct, Building 8 Suite 115, Westminster, CO 80031-6956 | 2011-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| 1801352851 | Hope Pediatric Dentistry, Pllc | Clinic/Center | 5724 W. 89th Avenue, Westminster, CO 80031 | 2019-02-14 |
| 1265921860 | Gregory Kyle Guarneros | Acupuncturist | 8428 Princeton St, Westminster, CO 80031 | 2018-05-09 |
| 1316464076 | Boulder Valley Iom, LLC | Psychiatry & Neurology | 4375 W 118th Place, Westminster, CO 80031 | 2017-08-24 |
| 1063936383 | Andrea Presnall | Counselor | 8787 Turnpike Pkwy, Ste 270, Westminster, CO 80031 | 2017-07-28 |
| 1497278261 | Katherine Sara Taylor | Counselor | 8787 Turnpike Drive, #120, Westminster, CO 80031 | 2017-07-24 |
| 1881135796 | Steele Family Counseling, LLC | Marriage & Family Therapist | 8778 Wolff Court, Suite 202, Westminster, CO 80031 | 2017-03-10 |
| 1235599762 | Katie Coyle | Licensed Practical Nurse | 3964 Main St, 104, Westminster, CO 80031 | 2016-02-25 |
| 1467838037 | James Weiss | Counselor | 8407 N Bryant St., Wetminister, CO 80031 | 2015-08-06 |
| Find all providers in zip 80031 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485648 | Poudre Valley Medical Group, LLC | Clinical Neuropsychologist | 175 S Union Blvd Ste 240, Colorado Springs, CO 80910-3125 | 2020-07-27 |
| 1184102790 | Emily Claire Maxwell | Clinical Neuropsychologist | 10111 Inverness Main St Unit 417, Englewood, CO 80112-5727 | 2018-08-06 |
| 1356828776 | Samantha D Stein | Clinical Neuropsychologist | 50 S Steele St Ste 250, Denver, CO 80209-2802 | 2018-07-27 |
| 1255848321 | Jill Gitten Aloia | Clinical Neuropsychologist | 2501 Walnut St Ste 102, Boulder, CO 80302-5752 | 2018-01-10 |
| 1497265367 | Alicia Williams | Clinical Neuropsychologist | 400 S Mccaslin Blvd Ste 212, Superior, CO 80027-9701 | 2017-10-05 |
| 1689102568 | 2 Peaks Center for Neuro Psychology | Clinical Neuropsychologist | 2001 S Shields Street, Bldg A, Fort Collins, CO 80526-1827 | 2017-05-23 |
| 1487192076 | Icn Pllc | Clinical Neuropsychologist | 255 Canyon Blvd Ste 300-f, Boulder, CO 80302-4979 | 2017-02-03 |
| 1972048098 | Neurofeedback Colorado Springs, Inc. | Clinical Neuropsychologist | 2918 Beacon St Ste A, Colorado Springs, CO 80907-9208 | 2016-12-28 |
| 1720537467 | Zachary Sussman | Clinical Neuropsychologist | 2501 Walnut St Ste 104, Boulder, CO 80302-5752 | 2016-09-22 |
| 1053781401 | Valerie Sims | Clinical Neuropsychologist | 11705 Airport Way, Suite 301, Broomfield, CO 80021-2706 | 2015-09-28 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 80031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.