Megan Blake, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.015643 Issued in IL

Practice address

1475 Maple Ave
Northbrook, IL 60062-5497

Phone

(847) 498-7900

NPI assigned

Feb 13, 2018

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kindering Center

  • Specialist
  • Bellevue, WA
  • NPI 1275670572
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1467952739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 MAPLE AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625497",
            "telephone_number": "847-498-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MAPLE AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625497",
            "telephone_number": "847-498-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16120 NE 8th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980083937",
            "country_code": "US",
            "telephone_number": "425-747-4004",
            "fax_number": "425-747-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MEGAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Black, MA, LCPC
• Spencer Blacketer Carlson
• Allison Jenna Blackman, PSYD
• Eve E Blackwright
• Emily Blair, MS
• Sandra Blank
• Sarah Beth Blank, M.D.
• Jostein Blindheim
• Sara Blinten
• Debra M. Block, PSY.D.

• Speech-Language Pathologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.