Individual provider · Type 1 NPI

Daniel Clark

Psychologist · New York, NY

NPI number 1790267516 Active

Practice location

1133 Broadway Ste 1127
New York, NY 10010-7973

Fax (855) 595-2754

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X11426 (MA)
Psychologist Primary 103T00000X025673 (NY)

Psychologist: 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 adjustmen…

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About NPI 1790267516

Daniel Clark's National Provider Identifier is 1790267516, issued on Aug 29, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in New York, NY. The record was last updated on Jan 26, 2026.