Organization Active NPI

Fabianne Blake LLC

  • Clinical Psychologist
  • Bronx, NY
National Provider Identifier
1144133547
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FABIANNE BLAKE LLC
Practice address
1360 Lyman PL Apt 4B
Bronx, NY 10459-1773
Phone
(302) 544-2642
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fabianne Blake, PSYD
Title
Dr
Phone
(302) 544-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

1360 Lyman PL Apt 4B
Bronx, NY 10459-1773

Mailing address

1360 Lyman PL Apt 4B
Bronx, NY 10459-1773

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1144133547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 LYMAN PL APT 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104591773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 LYMAN PL APT 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104591773",
            "telephone_number": "302-544-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIANNE BLAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "FABIANNE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "302-544-2642",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.