DR. MARK A WHISMAN (NPI# 1649643503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649643503 |
| Entity Type | Individual |
| Full Name | DR. MARK A WHISMAN |
| Credential | PHD |
| Practice Address |
Muenzinger D319 Boulder CO 80309-0345 |
| Mailing Address |
345 Ucb Boulder CO 80309-0345 |
| Practice Telephone | 3034928569 |
| Mailing Telephone | 3034928569 |
| Enumeration Date | 2015-11-01 |
| Last Update Date | 2015-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0002802 | CO | Behavioral Health & Social Service Providers |
| Street Address |
MUENZINGER D319 |
| City | BOULDER |
| State | CO |
| Zip Code | 80309-0345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1295968949 | Mya M Bethune | Counselor | 104 Ucb, Center for Community S440, Boulder, CO 80309 | 2009-08-28 |
| 1245479377 | Susan E Mead | Pharmacist | 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 | 2009-02-12 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1720446222 | University Physicians Incorporated | Orthopaedic Surgery | 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 | 2016-01-29 |
| Find all providers in zip 80309 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478314 | Kent Hutchison | Psychologist | 2695 Juilliard St, Boulder, CO 80305-7030 | 2020-08-21 |
| 1366910028 | Kenneth J Mcdonald | Psychologist | 9347 Sugarloaf Rd, Boulder, CO 80302-9221 | 2018-11-10 |
| 1043713159 | Carl Frank Sternberg | Psychologist | 1525 Spruce St Ste 102, Boulder, CO 80302-4256 | 2018-03-14 |
| 1821511718 | Nicole Kalyn Hipp | Psychologist | 2299 Pearl St Ste 310, Boulder, CO 80302-4671 | 2017-07-21 |
| 1114456001 | Trevor Graham, Psy.d., LLC | Psychologist | 2727 Pine St Ste 9, Boulder, CO 80302-3846 | 2017-06-05 |
| 1548666209 | Haley Miller | Psychologist | 255 Canyon Blvd Ste 200, Boulder, CO 80302-4954 | 2014-11-07 |
| 1275941080 | Dina Matic | Psychologist | 5350 Manhattan Cir Ste 210b, Boulder, CO 80303-4236 | 2014-07-24 |
| 1356782676 | Steven Michael Gioielli | Psychologist | 2500 30th St Ste 208, Boulder, CO 80301-1239 | 2013-07-15 |
| 1083955975 | Michal Fire | Psychologist | 1033 Kalmia Ave, Boulder, CO 80304-1743 | 2013-03-03 |
| 1801135678 | Sarah Wu | Psychologist | 1440 Lee Hill Rd Unit 5, Boulder, CO 80304-0868 | 2013-02-13 |
| Find all providers in BOULDER | ||||
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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.