Blakely Elizabeth Mulder, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008113 Issued in VA

Practice address

1220 N Fillmore St Ste 345
Arlington, VA 22201-6501

Phone

(703) 988-6861

NPI assigned

Apr 20, 2020

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

Opted out of Medicare

Yes, effective Nov 3, 2021 through Nov 3, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Lepage Associates

  • Psychologist
  • Durham, NC
  • NPI 1669977732
  NPD (past)

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1629698683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N FILLMORE ST STE 345",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016501",
            "telephone_number": "703-988-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N FILLMORE ST STE 345",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016501",
            "telephone_number": "703-988-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14110 Robert Paris Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201514205",
            "country_code": "US",
            "telephone_number": "703-378-7998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULDER",
        "first_name": "BLAKELY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afshan Mubashar
• John B Mueller, MD
• Tiffany Brooke Mueller, M.D.
• Maria Muessen, NP-C
• Muir-Young Pediatric Smiles PLLC
• Johnmichael Mulderig
• Charles Cole Mullen I, LMT
• Emily Mulligan, MA, CAS
• Erin Mulligan
• Yabikiebra Mulugeta, PHRAM.D

• Clinical Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.