Mark Anthon Lott, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY.0005495 Issued in CO

Practice address

1635 Foxtrail Dr # 108
Loveland, CO 80538-9086

Phone

(720) 615-8444

Fax

(720) 844-3300

NPI assigned

Sep 21, 2017

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuropsychological Solutions, PLLC

  • Clinical Neuropsychologist
  • Loveland, CO
  • NPI 1619639937
  Medicare reassignment NPD Authorized official
• National Jewish Health

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1326015777

  Multi-Specialty

  Medicare reassignment NPD
• University Physicians Incorporated

  dba CU Medicine

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1962461889

  Multi-Specialty

  Medicare reassignment NPD
• Summit Neuropsychological Services LLC

  dba Horizon Neuropsychological Services LLC

  • Clinical Neuropsychologist
  • Boulder, CO
  • NPI 1396414108
  NPD
• University Physicians, Incorporated

  dba CU Sports Medicine Colorado Center

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1275045049

  Single Specialty

  NPD

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1053820068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 GRANGE LN",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805347827",
            "telephone_number": "720-615-8444",
            "fax_number": "720-844-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 FOXTRAIL DR # 108",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389086",
            "telephone_number": "720-615-8444",
            "fax_number": "720-844-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Grange Ln",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805347827",
            "country_code": "US",
            "telephone_number": "720-615-8444 x1001",
            "fax_number": "720-844-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 N Revere Ct",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457464",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTT",
        "first_name": "MARK",
        "middle_name": "ANTHON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "PSY.0005495",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005495",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "37747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longs Peak Pain Management, LLC
• Shari Elaine Lopez Ritchie, PA-C
• Jason O Lopez
• William Lopez Jr., M.D.
• Lori M. Jimison, DDS, PC
• Meredith Grace Louden
• Louis Tartaglia MD PC (Loveland Orthopedics)
• Bryanna Alexis Love, DPT
• Kelly Brey Love, PH.D.
• Robin Love, MA, LPCC

• Clinical Neuropsychologist in Loveland, CO
• Providers in Loveland, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.