Active NPI
Margaret Maria Blake, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1730377714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017978
- Practice address
- 156 W 56TH St Ste 1804
New York, NY 10019-3878 - Phone
- (212) 851-8100
- Fax
- (888) 977-2547
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 017978 | NY | Primary |
Addresses
Primary practice location
156 W 56TH St Ste 1804
New York, NY 10019-3878
Mailing address
156 W 56TH St Ste 1804
New York, NY 10019-3878
Phone (212) 851-8100
Other practice location 1
789 E 38th St
Brooklyn, NY 11210-1941
Phone (347) 254-1327
Other practice location 2
789 E 38th St
Brooklyn, NY 11210-1941
Phone (347) 254-1327
Other practice location 3
1745 Broadway Fl 17
New York, NY 10019-4642
Phone (212) 851-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1730377714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 W 56TH ST STE 1804",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193878",
"telephone_number": "212-851-8100",
"fax_number": "888-977-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 W 56TH ST STE 1804",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193878",
"telephone_number": "212-851-8100",
"fax_number": "888-977-2547"
}
],
"practiceLocations": [
{
"address_1": "789 E 38th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112101941",
"country_code": "US",
"telephone_number": "347-254-1327",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "789 E 38th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112101941",
"country_code": "US",
"telephone_number": "347-254-1327",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1745 Broadway Fl 17",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100194642",
"country_code": "US",
"telephone_number": "212-851-8100",
"fax_number": "212-537-0102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAKE",
"first_name": "MARGARET",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.