Jennifer Flack Thelen, PSY.D., LP
NPI 1821221631ActiveIndividual· Psychologist, Clinical· Fenton, MI
Psychologist, Clinical (PSY.D., LP) with J Flack Psyd PC, practicing in Fenton, Michigan. Medicare paid $31,995 for services to 27 patients in 2024.
Overview
| NPI | 1821221631 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D., LP |
| Sole proprietor | Yes |
| NPI issued | Aug 26, 2009 |
| Last updated in NPPES | May 15, 2025 |
| Certified by provider | May 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301013884 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 309 across 6 procedure codes |
| Paid by Medicare | $31,995 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- J Flack Psyd PCFenton, MI · 10 clinicians
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