Daniel Clark Psychologist PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DANIEL CLARK PSYCHOLOGIST PLLC

Practice address

1133 Broadway Ste 1127
New York, NY 10010-7973

Phone

(562) 314-1999

Fax

(855) 595-2754

NPI assigned

Dec 29, 2023

Last updated

Jan 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Clark, PHDNPI 1790267516

Title

Owner/Clinical Psychologist

Phone

(617) 249-4466

Specialties & licenses 3

Addresses

Other names 1

• Park West Psychology Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Clark

  • Psychologist
  • New York, NY
  • NPI 1790267516

  Clinical Child & Adolescent

  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1053180117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY STE 1127",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107973",
            "telephone_number": "562-314-1999",
            "fax_number": "855-595-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY STE 1127",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107973",
            "telephone_number": "562-314-1999",
            "fax_number": "855-595-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL CLARK PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "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": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-249-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park West Psychology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel a Rofe PT PC
• Daniel a. Burton, M.D., P.C.
• Daniel a. Klapper, M.D.,P.C.
• Daniel B. Polatsch, M.D.
• Daniel Baker MDPC
• Daniel Criado Mental Health
• Daniel D. Feldman MD, PLLC
• Daniel Drapacz DPM PC (newyorkfootexperts)
• Daniel E. Goldberg, MD, PC
• Daniel E. Wank, D.D.S, PC

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• 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.