Daniel Clark PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DANIEL CLARK PHD LLC

Practice address

483 Beacon St
Boston, MA 02115-1349

Phone

(617) 249-4466

Fax

(855) 595-2754

NPI assigned

Jul 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Clark, PHDNPI 1790267516

Title

Clinical Psychologist

Phone

(617) 249-4466

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Clark

  • Psychologist
  • New York, NY
  • NPI 1790267516
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1043944135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "617-249-4466",
            "fax_number": "855-595-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151349",
            "telephone_number": "617-249-4466",
            "fax_number": "855-595-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL CLARK PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-249-4466",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Dangelo, RN
• Valery Gerald Danger
• Stratton Lowe Dangerfield
• Jyoti Dangi
• Tien J Danh-Huang
• Daniel J Bley DDS PC
• Daniel J. Townsend, MD, PC
• Ashley D. Daniel, DPM
• Dennis Abraham Daniel, MD
• Diana Daniel, MD

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.