Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184305534 Individual Practitioner Male Practitioner

Dr. Daniel Flack , PhD, JD

Psychologist - Clinical • Moodus, CT

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Flack, PhD, JD is a registered healthcare professional specializing in Psychologist - Clinical in Moodus, CT. Practice services are available at PO BOX 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Po Box 10

Moodus, CT 064690010

Telephone 2032088641
Associated Practice Facility / Clinic
🏢 Black Locust Psychology Pc Facility NPI 1588460463

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Moodus, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Moodus, CT (1151 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-19
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License CT 4619

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Psychologist - Forensic

NUCC Taxonomy Code: 103TF0200X

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 19, 2025

Registered at PO BOX 10, MOODUS, CT 064690010 (Tel: 2032088641)

📍
Updated Business Mailing Address March 19, 2025

Registered at 29 WICKHAM RD, EAST HADDAM, CT 064231204

📍
Updated Business Mailing Address September 18, 2023

Registered at 1290 SILAS DEANE HIGHWAY, HHC-CVO, WETHERSFIELD, CT 061094337

NPI Profile Active July 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2023

Registered at 200 RETREAT AVE DEPT OF, HARTFORD, CT 061023102 (Tel: 8605457907)

📍
Updated Business Mailing Address July 28, 2023

Registered at 200 RETREAT AVE DEPT OF, HARTFORD, CT 061023102

👤
Provider Name / Credentials Updated July 28, 2023

Recorded as DANIEL FLACK, PHD, JD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2023

Psychologist

🟢
Initial NPI Registration & Enumeration July 28, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184305534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2023
Last Update: March 19, 2025
Sole Proprietor: No

Mailing Address

29 Wickham Rd

East Haddam, CT 064231204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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