Active NPIIndividual provider

Brianna M Blake

Psychologist, Clinical in Hartford, Connecticut

NPI Number1366984338
Practice location
200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310
Fax
—
Last updated
December 5, 2016

Brianna Marie Blake is a Psychologist, Clinical based in Hartford, CT. Brianna Marie Blake practices in Hartford, CT. The NPI Number for Brianna Marie Blake is 1366984338 and holds a License No. 003606 (CT). The current practice location address for Brianna Marie Blake is 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 and can be reached out via phone at 860-545-7203.

Provider Profile Details

NPI Number
1366984338
Provider Name
Brianna Marie Blake
Provider Entity Type
Individual
Gender
Female
Address
200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310
Phone Number
860-545-7203
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
November 8, 2016
Last Update Date
December 5, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Retreat Avenue
Hartford Hospital Psychiatry Dept.
Hartford, CT 06106-3310
Zip
06106-3310
Phone Number
860-545-7203
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
200 Retreat Avenue
Hartford Hospital Psychiatry Dept.
Hartford, CT 06106-3310
City
Hartford
State
CT
Zip
06106-3310
Phone Number
860-545-7203

License Information

License Number
003606
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brianna M Blake?

The NPI number of Brianna M Blake is 1366984338. It was assigned on November 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Brianna M Blake?

Brianna M Blake is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 003606.

Where does Brianna M Blake practice?

The practice location is 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310. The office can be reached at 860-545-7203 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366984338 directly on the NPPES registry website.

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