DR. DANIEL FLACK PHD, JD
NPI 1184305534
Psychologist - Clinical in Moodus, CT

Q: What is Daniel Flack's NPI number?

The NPI number for Daniel Flack is 1184305534. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Q: What is Daniel Flack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Daniel Flack enrolled in Medicare?

No. Daniel Flack has opted out of Medicare through October 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Daniel Flack was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2023Opted out of Medicare · through Oct 6, 2027

PO BOX 10, MOODUS, CT 06469(203) 208-8641 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Jul 28, 2023 (2 updates tracked since 2023).

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About Dr. Daniel Flack Phd, Jd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL FLACK PHD, JD (NPI 1184305534) is an individual clinical provider in Moodus, Connecticut, licensed in Connecticut (4619) and active in the NPI registry since July 2023. He has opted out of Medicare through October 6, 2027.

NPPES Registry Identity

NPI1184305534

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DANIEL FLACKCredential: PHD, JD

Location AddressPO BOX 10Moodus, CT 06469-0010

Mailing Address29 Wickham RdEast Haddam, CT 06423-1204

Phone(203) 208-8641

Sole ProprietorNo

Enumeration DateJuly 28, 2023

Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1184305534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CT · 4619

Definition

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.

Also ListedPsychologist · ForensicTaxonomy 103TF0200X

PO BOX 10, Moodus, CT 06469

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Daniel Flack Phd, Jd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 6, 2025 through October 6, 2027.

Opt-Out Effective DateOctober 6, 2025

Opt-Out In Effect ThroughOctober 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Flack's NPI number?

The NPI number for Daniel Flack is 1184305534. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Daniel Flack located?

Daniel Flack practices at PO Box 10, Moodus, CT 06469. The listed phone number is (203) 208-8641.

What is Daniel Flack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Daniel Flack enrolled in Medicare?

No. Daniel Flack has opted out of Medicare through October 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Daniel Flack was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.