BLACK LOCUST PSYCHOLOGY PC
NPI 1588460463
Psychologist - Clinical in East Haddam, CT

Q: What is Black Locust Psychology PC's NPI number?

The NPI number for Black Locust Psychology PC is 1588460463. It was assigned to this organization in the NPPES registry on February 21, 2025. The provider is doing business as Black Locust Psychology.

Q: What is Black Locust Psychology PC's specialty?

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

Active since February 21, 2025

29 WICKHAM RD, EAST HADDAM, CT 06423(203) 208-8641 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2025, Feb 21, 2025 (2 updates tracked since 2025).

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About Black Locust Psychology Pc NPPES

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

BLACK LOCUST PSYCHOLOGY PC (NPI 1588460463), doing business as Black Locust Psychology, is a healthcare organization registered as a clinical in East Haddam, Connecticut and active in the NPI registry since February 2025. The organization lists Daniel Flack, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1588460463

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBLACK LOCUST PSYCHOLOGY PC

Location Address29 WICKHAM RDEast Haddam, CT 06423-1204

Mailing Address29 Wickham RdEast Haddam, CT 06423-1204

Phone(203) 208-8641

Organization SubpartNo

Authorized OfficialDaniel FlackSole Member · (203) 208-8641

Enumeration DateFebruary 21, 2025

Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1588460463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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

29 WICKHAM RD, East Haddam, CT 06423

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Other Names 1

Doing Business AsBlack Locust Psychology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Black Locust Psychology PC's NPI number?

The NPI number for Black Locust Psychology PC is 1588460463. It was assigned to this organization in the NPPES registry on February 21, 2025. The provider is doing business as Black Locust Psychology.

Where is Black Locust Psychology PC located?

Black Locust Psychology PC is located at 29 Wickham Rd, East Haddam, CT 06423. The listed phone number is (203) 208-8641.

What is Black Locust Psychology PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Black Locust Psychology PC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.