DR. BLAKE D. SMITH (NPI# 1174502660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174502660 |
| Entity Type | Individual |
| Full Name | DR. BLAKE D. SMITH |
| Credential | M.D. |
| Practice Address |
2364 Washington St Newton MA 02462-1440 |
| Practice Telephone | 6173322047 |
| Practice Fax Number | 6173327341 |
| Mailing Telephone | 6173322047 |
| Mailing Fax Number | 6173327341 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
75302 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | J12115 | 01 |
| MA | 3089151 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780927269 | Blake Robert Smith | Otolaryngology | 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096-4506 | 2013-04-03 |
| 1952591398 | Blake E Smith | Optometrist | 4612 S Coulter St, Amarillo, TX 79119-6403 | 2007-08-01 |
| 1649839317 | Blake Edward Smith | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-06-06 |
| 1275089609 | Blake Smith | Specialist | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-08-26 |
| 1639547904 | Blake Eric Smith | Occupational Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2015-09-03 |
| 1770979221 | Blake Gaither Smith | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249 | 2015-04-11 |
| 1093132631 | Blake Andre Smith | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2014-03-20 |
| 1881031946 | Blake Daniel Smith | Dentist | 2600 Bemidji Ave N, Bemidji, MN 56601-2324 | 2013-05-30 |
| 1760718282 | Blake Smith | Registered Nurse | 80 Enoch Blvd, Savannah, TN 38372 | 2009-10-19 |
| 1518192533 | Blake Allen Smith | Psychiatry & Neurology | 4805 Montgomery Rd, Suite 410, Cincinnati, OH 45212-2198 | 2009-05-19 |
| Street Address |
2364 WASHINGTON ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629059605 | Sharon Ann Salter | Psychiatry & Neurology | 2364 Washington St, Newton, MA 02462-1440 | 2005-11-08 |
| 1275779969 | Jennifer Schreiber | Social Worker | 2364 Washington St, Newton, MA 02462-1440 | 2008-12-30 |
| 1609941202 | Catherine Paluzzi | Clinical Nurse Specialist | 2364 Washington St, Newton, MA 02462-1440 | 2006-11-21 |
| 1902901127 | John Kent Boynton | Social Worker | 2364 Washington St, Newton, MA 02462-1440 | 2006-09-13 |
| 1356390157 | Claire F Schneckenberger | Registered Nurse | 2364 Washington St, Newton, MA 02462-1440 | 2006-05-09 |
| 1003887696 | Kimberlie King | Psychologist | 2364 Washington St, Newton, MA 02462-1440 | 2006-01-31 |
| 1053382887 | Shelly Isaacs | Psychologist | 2364 Washington St, Newton, MA 02462-1440 | 2006-01-30 |
| 1467423293 | Judith Schechtman | Psychologist | 2364 Washington St, Newton, MA 02462-1440 | 2006-01-30 |
| 1992776736 | Robert Beaton | Psychologist | 2364 Washington St, Newton, MA 02462-1440 | 2006-01-30 |
| 1427029297 | Newton-wellesley Psychiatry | Psychologist | 2364 Washington St, Newton, MA 02462-1440 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
| Find all providers in zip 02462 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1477745271 | Laurie Coyner, Md Pa | Psychiatry & Neurology | 800 Medical Center Dr Ste 230, Newton, KS 67114-7808 | 2007-08-15 |
| 1265622393 | Alan D Persky | Psychiatry & Neurology | 74 Brackett Rd, Newton, MA 02458-2614 | 2007-07-25 |
| 1023137411 | Sharon Seibel | Psychiatry & Neurology | 170 Old Farm Rd, Newton, MA 02459-3457 | 2007-03-28 |
| 1902923790 | Judy S R Tsafrir | Psychiatry & Neurology | 120 Sumner St, Newton, MA 02459-1957 | 2007-03-25 |
| 1588795520 | Jonathan Palmer | Psychiatry & Neurology | 21 Coolidge Rd, Newton, MA 02459-1201 | 2007-03-09 |
| 1750425443 | Michael Rothman | Psychiatry & Neurology | 37 Grayson Ln, Newton, MA 02462-1020 | 2007-02-16 |
| 1205970993 | Alan S Pollack | Psychiatry & Neurology | 987 Chestnut St, # 7, Newton, MA 02464-1101 | 2007-02-16 |
| 1003958182 | Martha Stark | Psychiatry & Neurology | 3 Ripley St, Newton, MA 02459-2209 | 2007-02-13 |
| Find all providers in NEWTON | ||||
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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.