Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Locust Psychology PC

Organization Clinical Psychologist · NPI 1588460463

Black Locust Psychology PC is a Clinical Psychologist in East Haddam, Connecticut. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29 Wickham Rd
East Haddam, CT 06423-1204
Phone: (203) 208-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Forensic Psychologist Taxonomy 103TF0200X

Record details

NPI number1588460463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Flack — Sole Member · (203) 208-8641
Other names Black Locust Psychology; Black Locust Psychology
NPI enumeratedFebruary 21, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address29 Wickham Rd, East Haddam, CT 06423-1204

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