Organization Active NPI

Better Be Blake Therapy

  • Clinical Social Worker
  • East Windsor, NJ
National Provider Identifier
1487345955
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BETTER BE BLAKE THERAPY
Practice address
9 Charred Oak LN
East Windsor, NJ 08520-1803
Phone
(848) 666-0264
NPI assigned
May 16, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Adam BlakeNPI 1609437227
Title
Owner
Phone
(848) 666-0264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20240502001060 NJ Part B Supplier - Clinic/Group Practice 1951741339 Receives reassigned benefits from 5 practitioners
Practice locations: East Windsor, NJ

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

9 Charred Oak LN
East Windsor, NJ 08520-1803

Mailing address

9 Charred Oak LN
East Windsor, NJ 08520-1803
Phone (848) 666-0264

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 29, 2024.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1487345955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHARRED OAK LN",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201803",
            "telephone_number": "848-666-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHARRED OAK LN",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201803",
            "telephone_number": "848-666-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER BE BLAKE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-666-0264"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.