Active NPI
Katherine J Blake, PHD
- Psychologist
- Rockville, MD
National Provider Identifier
1861511727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03912
- Practice address
- 3202 Tower Oaks Blvd
Suite 260
Rockville, MD 20852-4219 - Phone
- (301) 528-8575
- NPI assigned
- Mar 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03912 | MD | Primary |
Addresses
Primary practice location
3202 Tower Oaks Blvd
Suite 260
Rockville, MD 20852-4219
Mailing address
3202 Tower Oaks Blvd
Suite 260
Rockville, MD 20852-4219
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03912 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1861511727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 TOWER OAKS BLVD",
"address_2": "SUITE 260",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 TOWER OAKS BLVD",
"address_2": "SUITE 260",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524219",
"telephone_number": "301-528-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "KATHERINE",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "03912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.