DR. ANGELA ROMAN CLACK PSYD, LPC
NPI 1699935205
Psychologist - Clinical in Blackwood, NJ

Q: What is Angela Clack's NPI number?

The NPI number for Angela Clack is 1699935205. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Q: What is Angela Clack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Clack was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 17, 2008

200 DAVISTOWN RD UNIT 272, BLACKWOOD, NJ 08012(856) 875-5335(856) 875-5336 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Angela Roman Clack Psyd, Lpc NPPES

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

DR. ANGELA ROMAN CLACK PSYD, LPC (NPI 1699935205) is an individual clinical provider in Blackwood, New Jersey, licensed in New Jersey (35SI00779900) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1699935205

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANGELA ROMAN CLACKCredential: PSYD, LPC

Location Address200 DAVISTOWN RD UNIT 272Blackwood, NJ 08012-7611

Mailing Address200 Davistown Rd Unit 272Blackwood, NJ 08012-7611 · (856) 875-5335 · Fax (856) 875-5336

Phone(856) 875-5335

Fax(856) 875-5336

Sole ProprietorYes

Enumeration DateJune 17, 2008

Last NPPES UpdateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1699935205 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 NJ · 35SI00779900

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 ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 37PC00323700 (NJ)

200 DAVISTOWN RD UNIT 272, Blackwood, NJ 08012

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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 Angela Clack's NPI number?

The NPI number for Angela Clack is 1699935205. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Angela Clack located?

Angela Clack practices at 200 Davistown Rd Unit 272, Blackwood, NJ 08012. The listed phone number is (856) 875-5335.

What is Angela Clack'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 Angela Clack was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.