Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mac Andrew Jack

Individual provider Clinical Psychologist · NPI 1225856867

Mac Andrew Jack is a Clinical Psychologist in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024

Practice location Address checks out

2919 Valmont Rd Ste 204
Boulder, CO 80301
Phone: (303) 938-1110
Fax: (303) 938-1145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence CO-2847 (CO)

Record details

NPI number1225856867
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024

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