Active NPIIndividual providerSole proprietor

Dr. Michael Blake, PSYD

Psychologist in Stockbridge, Massachusetts

NPI Number1861876963
Practice location
25 Main St., Office 322, Stockbridge, MA 01262-0962
Fax
—
Last updated
July 17, 2015

Michael Blake is a Psychologist based in Stockbridge, MA. Michael Blake practices in Stockbridge, MA and has the professional credentials of PSYD. The NPI Number for Michael Blake is 1861876963 and holds a License No. 10144 (MA). The current practice location address for Michael Blake is 25 Main St., Office 322, Stockbridge, MA 01262-0962 and can be reached out via phone at 413-931-5235.

Provider Profile Details

NPI Number
1861876963
Provider Name
Michael Blake
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
25 Main St., Office 322, Stockbridge, MA 01262-0962
Phone Number
413-931-5235
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2015
Last Update Date
July 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Main St.
Office 322
Stockbridge, MA 01262-0962
Zip
01262-0962
Phone Number
413-931-5235
Stockbridge, MA 01262Get directions →

Provider Business Mailing Address Details

Address
Po Box 962
Stockbridge, MA 01262-0962
City
Stockbridge
State
MA
Zip
01262-0962
Phone Number
413-931-5235

License Information

License Number
10144
License State
MA
Taxonomy
Psychologist · 103T00000X · 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 Dr. Michael Blake, PSYD?

The NPI number of Dr. Michael Blake, PSYD is 1861876963. It was assigned on July 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Blake, PSYD?

Dr. Michael Blake, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 10144.

Where does Dr. Michael Blake, PSYD practice?

The practice location is 25 Main St., Office 322, Stockbridge, MA 01262-0962. The office can be reached at 413-931-5235 (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 1861876963 directly on the NPPES registry website.

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