AMY FLACK PH.D.
NPI 1568530103
Psychologist - Clinical in Englewood, CO

NPI Status: Active since December 01, 2006

Contact Information

6059 S QUEBEC ST STE 203
ENGLEWOOD, CO
ZIP 80111
Phone: (720) 581-1425

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • PECOS Enrolled
  • Opted-Out Medicare

About AMY FLACK

This page provides the complete NPI Profile along with additional information for Amy Flack, a provider established in Englewood, Colorado with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1568530103 assigned on December 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 2451 (CO). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1568530103
Provider Name
AMY FLACK PH.D.
Gender
Female
Entity Type
Individual
Location Address
6059 S QUEBEC ST STE 203 ENGLEWOOD, CO 80111
Location Phone
(720) 581-1425
Mailing Address
8763 E EASTMAN PL DENVER, CO 80231
Mailing Phone
(720) 581-1425
Is Sole Proprietor?
Yes
Enumeration Date
12-01-2006
Last Update Date
07-08-2007
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A clinical psychologist like Amy Flack assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Amy Flack opted out of Medicare effective on 08-05-2019 until 08-05-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
2451
License State
CO
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Medicare Participation & PECOS Enrollment Status

Amy Flack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-05-2019

  • Opt-Out End Date: 08-05-2025

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 80111 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $174.82
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $43.7
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.03
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $25.5
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for AMY FLACK PH.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568530103
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128103010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 3 + 0 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1568530103 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104907476 TINA BLAKELY LPC
Individual
Counselor (Professional)6059 S QUEBEC ST STE 203
ENGLEWOOD, CO 80111
(303) 741-3005
1669617155 KAREN E EBERLY
Individual
Counselor (Professional)6059 S QUEBEC ST STE 203
ENGLEWOOD, CO 80111
(720) 314-0349
1467538165MS. CHRISTINE LEA PERLMUTTER LCSW
Individual
Social Worker (Clinical)6059 S QUEBEC ST STE 203
CENTENNIAL, CO 80111
(303) 217-1421
1629446117 SCOTT KING D.C.
Individual
Chiropractor6059 S QUEBEC ST STE 203
CENTENNIAL, CO 80111
(720) 502-6468

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568530103, enumerated in the NPI registry as an "individual" on December 01, 2006

The provider is located at 6059 S Quebec St Ste 203 Englewood, Co 80111 and the phone number is (720) 581-1425

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $174.82 with an average copayment of $43.7 for new patient appointments. Established patients should expect a typical charge of $102.03 and an average copayment of 25.5. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on August 05, 2019 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 05, 2025.

This NPI record was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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