Active NPI
Blake Donald Carmichael, PH.D.
- Clinical Psychologist
- Sacramento, CA
National Provider Identifier
1427033885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19498
- Practice address
- 3671 Business Dr
Sacramento, CA 95820-2165 - Phone
- (916) 734-4208
- Fax
- (916) 734-4150
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19498 | CA | Primary |
Addresses
Primary practice location
3671 Business Dr
Sacramento, CA 95820-2165
Mailing address
3671 Business Dr
Sacramento, CA 95820-2165
Phone (916) 734-4208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19498 | CA | MD | Clinical Psychologist |
| 19499 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1427033885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3671 BUSINESS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958202165",
"telephone_number": "916-734-4208",
"fax_number": "916-734-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3671 BUSINESS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958202165",
"telephone_number": "916-734-4208",
"fax_number": "916-734-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMICHAEL",
"first_name": "BLAKE",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.