Angela Roman Clack, PSYD, LPC
NPI 1699935205ActiveIndividual· Psychologist, Clinical· Blackwood, NJ
Psychologist, Clinical (PSYD, LPC) in Blackwood, New Jersey, licensed in NJ, with an NPI issued in June 2008.
Overview
| NPI | 1699935205 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LPC |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2008 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 35SI00779900 | NJ |
| Counselor, Professional | 101YP2500X | 37PC00323700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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