DR. JAMILIA BLAKE (NPI# 1114287133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114287133 |
| Entity Type | Individual |
| Full Name | DR. JAMILIA BLAKE |
| Credential | PH.D. |
| Practice Address |
207 Rock Prairie Rd Ste B Capstone College Station TX 77845-8777 |
| Mailing Address |
Po Box 12173 College Station TX 77842-2173 |
| Practice Telephone | 4047252592 |
| Practice Fax Number | 9796947337 |
| Mailing Telephone | 4047252592 |
| Mailing Fax Number | 9796947337 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 36053 | TX | Behavioral Health & Social Service Providers |
| Street Address |
207 ROCK PRAIRIE RD STE B CAPSTONE |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477577344 | Debra A. Milburn | Counselor | 207 Rock Prairie Rd Ste B, College Station, TX 77845-8777 | 2006-07-26 |
| 1205446630 | Emily Ann Brewer | Psychologist | 207 Rock Prairie Rd Ste B, College Station, TX 77845-8777 | 2020-07-31 |
| 1053874685 | Jacqueline Womack | Marriage & Family Therapist | 207 Rock Prairie Rd Ste B, College Station, TX 77845-8777 | 2019-04-10 |
| 1790099455 | Tamisha Lynette Utermark | Psychologist | 207 Rock Prairie Rd Ste B, College Station, TX 77845-8777 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063869592 | Delbert Beryl Price | Psychologist | 4714 Shoal Creek Dr, College Station, TX 77845-4409 | 2016-05-13 |
| 1588902969 | Krystal T. Simmons | Psychologist | 2130 Harvey Mitchell Pkwy S, Suite 11112, College Station, TX 77840-5103 | 2013-01-20 |
| 1073664413 | Kathleen Anne Huston | Psychologist | 2508 Faulkner Dr, College Station, TX 77845-5672 | 2007-01-14 |
| 1295809952 | Carol Lou Brackett | Psychologist | 207 B Rock Prairie Rd, College Station, TX 77845 | 2006-11-17 |
| 1427135763 | Barbara Del Clark | Psychologist | 1711 Glade St, College Station, TX 77840-4341 | 2006-11-01 |
| 1619073335 | Betty Lee Mcspadden | Psychologist | 511 University Dr E, #210, College Station, TX 77840 | 2006-09-16 |
| 1447809660 | Nicole Jean Hale | Psychologist | 207 Rock Prairie Rd Ste A, College Station, TX 77845-8777 | 2019-09-10 |
| 1598322950 | Doyle Thomas Marrs | Psychologist | 707 Texas Ave S Ste 206a, College Station, TX 77840-1975 | 2019-05-21 |
| 1508290818 | Emily Worthy | Psychologist | 1600 University Dr E, College Station, TX 77840-2642 | 2013-08-23 |
| 1225390594 | Jamilia Blake | Psychologist | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2012-06-13 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.