Thomas James Blake

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

Phoenix VA Health Care System
650 E Indian School Road
Phoenix, AZ 85012

Phone

(602) 277-5551

NPI assigned

Jan 9, 2020

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1659911428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 W SIESTA WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394232",
            "telephone_number": "602-799-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHOENIX VA HEALTH CARE SYSTEM",
            "address_2": "650 E INDIAN SCHOOL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-277-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.blake@va.gov",
            "affiliation": "N",
            "endpointDescription": "thomas.blake@va.gov",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "VA Medical Center",
            "address_1": "Phoenix VA Health Care System",
            "address_2": "650 E Indian School Road",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thanmaya R Blair, MD
• Brenda Blake-Johnson
• Lauren Perry Blake, PSYD
• Nadia R Blake
• Raymond Blake III
• Tyanna Leigh Blake, R.T.(R)
• Brooke Mackenzie Blakeman, M.ED., BCBA, LBA
• Doris Blakes-Greenway, ED.D.,OTRL
• Rachel Ewing Blakey, OT
• Jessica Blakley, DO

• Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.