Janice Blake, PMHNP
Nurse Practitioner, Psych/Mental Health in S Glastonbury, Connecticut
1548822000- Practice location
- 181 Thompson St, S Glastonbury, CT 06073-2919
- Phone
- 860-266-7826
- Fax
- —
- Last updated
- June 15, 2021
Janice Blake is a Nurse Practitioner, Psych/Mental Health based in S Glastonbury, CT. Janice Blake practices in S Glastonbury, CT and has the professional credentials of PMHNP. The NPI Number for Janice Blake is 1548822000 and holds a License No. 8329 (CT). The current practice location address for Janice Blake is 181 Thompson St, S Glastonbury, CT 06073-2919 and can be reached out via phone at 860-266-7826.
Provider Profile Details
- NPI Number
- 1548822000
- Provider Name
- Janice Blake
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 181 Thompson St, S Glastonbury, CT 06073-2919
- Phone Number
- 860-266-7826
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2019
- Last Update Date
- June 15, 2021
- Certification Date
- June 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 181 Thompson St
S Glastonbury, CT 06073-2919 - City
- S Glastonbury
- State
- Connecticut
- Zip
- 06073-2919
- Phone Number
- 860-266-7826
Provider Business Mailing Address Details
- Address
- 181 Thompson St
S Glastonbury, CT 06073-2919 - City
- S Glastonbury
- State
- CT
- Zip
- 06073-2919
License Information
- License Number (1)
- 8329
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 8329
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Pediatrics · 363LP0200X
- License Number (3)
- 8329
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near S Glastonbury, CT
View all Nurse Practitioner, Psych/Mental Health providers in S Glastonbury →Frequently Asked Questions
What is the NPI number of Janice Blake, PMHNP?
The NPI number of Janice Blake, PMHNP is 1548822000. It was assigned on July 5, 2019 and is currently active in the NPPES registry.
What is the specialty of Janice Blake, PMHNP?
Janice Blake, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 8329.
Where does Janice Blake, PMHNP practice?
The practice location is 181 Thompson St, S Glastonbury, CT 06073-2919. The office can be reached at 860-266-7826 (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 1548822000 directly on the NPPES registry website.