Calves V Blake, BACHELOR'S DEGREE

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

0018205 Issued in WI

Practice address

2323 Lake Club Dr Ste 301
Columbus, OH 43232-3198

Phone

(614) 456-4999

Fax

(866) 496-2680

NPI assigned

Feb 19, 2025

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1598560856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 LAKE CLUB DR STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323198",
            "telephone_number": "614-456-4999",
            "fax_number": "866-496-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 LAKE CLUB DR STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323198",
            "telephone_number": "614-456-4999",
            "fax_number": "866-496-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "CALVES",
        "middle_name": "V",
        "credential": "BACHELOR'S DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "WI",
            "license": "0018205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dukagjin M Blakaj, MD
• Angela Marie Blake Bruno
• Alexis P Blake, LPC
• Anamaria Bonilla Blake, CPNP-PC
• Brandon Blake
• Charis Blake
• Christina Renee Blake
• Emily Blake
• Michael J Blake, MD
• Nathan Blake

• Assisted Living Facility (Mental Illness) in Columbus, OH
• Providers in Columbus, OH by specialty
• Assisted Living Facility (Mental Illness) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.