J FLACK PSYD PC
NPI 1770859001
Psychologist in Fenton, MI

Active since March 30, 2012
127 N RIVER ST, FENTON, MI 48430(810) 309-9355 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About J Flack Psyd Pc NPPES

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

J FLACK PSYD PC (NPI 1770859001), doing business as Fenton Wellness, is a healthcare organization registered as a psychologist in Fenton, Michigan and active in the NPI registry since March 2012. The organization lists Jennifer Flack, President, as its authorized official.

NPPES Registry Identity

NPI1770859001
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJ FLACK PSYD PC
Location Address127 N RIVER STFenton, MI 48430-3800
Mailing Address127 N River StFenton, MI 48430-3800 · (810) 309-9355
Organization SubpartNo
Authorized OfficialJennifer FlackPresident · (810) 309-9355
Enumeration DateMarch 30, 2012
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1770859001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6301014240
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X · License 6401006094 (MI)
Also ListedSocial WorkerTaxonomy 104100000X · License 6801006671 (MI)
127 N RIVER ST, Fenton, MI 48430

Other Names 1

Doing Business AsFenton Wellness

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Flack Psyd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to J Flack Psyd PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker6
Mental Health Counselor3
Clinical Psychologist1
Nurse Practitioner1

Clinicians, nearest first (11)

Clinical Social Worker
NPI 1396322616
127 N RIVER ST
Fenton, MI 48430
(810) 309-9355
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1528793684
127 N RIVER ST
Fenton, MI 48430
(810) 309-9355
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1871880807
127 N RIVER ST
Fenton, MI 48430
(810) 309-9355
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1821221631
127 N RIVER ST
Fenton, MI 48430
(810) 309-9355
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1821034638
127 N RIVER ST
Fenton, MI 48430
(810) 750-0320
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1922328996
127 N RIVER ST
Fenton, MI 48430
(810) 309-9355
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1245697317
9426 MILFORD RD
Holly, MI 48442
(248) 778-5687
✔ PECOS✔ Accepts Medicare6.1 mi
Clinical Social Worker
NPI 1346590858
3600 S DORT HWY
Flint, MI 48507
(810) 744-3300
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1881086346
2265 S LINDEN RD
Flint, MI 48532
(810) 720-8700
✔ PECOS✔ Accepts Medicare14 mi
Mental Health Counselor
NPI 1093049561
1255 N OAKLAND BLVD
Waterford, MI 48327
(248) 406-0090
✔ PECOS✔ Accepts Medicare17 mi
Clinical Social Worker
NPI 1912312653
279 SUMMIT DR
Waterford, MI 48328
(248) 409-4184
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 J Flack Psyd PC's NPI number?

The NPI number for J Flack Psyd PC is 1770859001. It was assigned to this organization in the NPPES registry on March 30, 2012. The provider is doing business as Fenton Wellness.

Where is J Flack Psyd PC located?

J Flack Psyd PC is located at 127 N River St, Fenton, MI 48430. The listed phone number is (810) 309-9355.

What is J Flack Psyd PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is J Flack Psyd PC enrolled in Medicare?

Yes. J Flack Psyd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J Flack Psyd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to J Flack Psyd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (6), Mental Health Counselor (3) and Clinical Psychologist (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does J Flack Psyd PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list J Flack Psyd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J Flack Psyd PC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.