Mark B Pommer, ED.M

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

CSSP04 Issued in WY

Practice address

925 Smith LN
Jackson, WY 83001

Phone

(307) 699-1030

NPI assigned

Feb 17, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1033358981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6887",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830026887",
            "telephone_number": "307-699-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SMITH LN",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-699-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMMER",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "ED.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "WY",
            "license": "CSSP04",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WY",
            "license": "CSSP04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J Peterson, RD
• David Lawrence Pfeifer, SA-C
• Vita Picchi, LAC
• Amy Pitman, L.C.S.W.
• Thomas J Pockat, M.D.
• Kristin Poole
• P George Poore, MD
• Gary Post, MSW
• Lisa Marie Potzernitz
• Brian Charles Prax, MA PT

• School Psychologist in Jackson, WY
• Providers in Jackson, WY by specialty
• School Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.