DR. ANN BETH BLAKE (NPI# 1467660704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467660704 |
| Entity Type | Individual |
| Full Name | DR. ANN BETH BLAKE |
| Credential | PHD |
| Practice Address |
549 Mcphee Road Sw Olympia WA 98502 |
| Mailing Address |
Po Box 7245 Olympia WA 98507-7245 |
| Practice Telephone | 2068986563 |
| Mailing Telephone | 2068986563 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY00001115 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174806186 | Ann Geralyn Blake | Massage Therapist | 7045 W Calahan Ave, Unit A, Lakewood, CO 80232-2117 | 2011-09-26 |
| 1578746954 | Ann Blake | Pharmacist | 4764 Salina St, Pulaski, NY 13142-4715 | 2007-12-09 |
| 1578950127 | Ann Blake | Student in an Organized Health Care Education/Training Program | 77 7th Ave, Apartment 14d, New York, NY 10011 | 2015-04-22 |
| 1093842551 | Ann Blake | Social Worker | 1730 1st Ave Ne, Cedar Rapids, IA 52402-5433 | 2007-02-28 |
| 1790733079 | Ann M Blake | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | 2006-05-05 |
| Street Address |
549 MCPHEE ROAD SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| 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 |
|---|---|---|---|---|
| 1023550050 | Providence Health & Services Washington | Psychologist | 225 State Ave Ne, Olympia, WA 98501-6951 | 2016-11-08 |
| 1427455070 | Robert Louis Morasky | Psychologist | 5439 Crestview Loop Ne, Olympia, WA 98516-2230 | 2014-11-25 |
| 1427459429 | Jenais Radabaugh | Psychologist | 2626 12th Ct Sw Ste 8, Olympia, WA 98502-1163 | 2014-09-09 |
| 1528356995 | David Fenstermaker | Psychologist | 2010 Seaton Ct Se, Olympia, WA 98513-3429 | 2011-07-19 |
| 1053559708 | David Peter Monson | Psychologist | 2633a Parkmont Ln Sw, Ste F, Olympia, WA 98502-1167 | 2009-02-02 |
| 1093978868 | Danielle Diane Jenkins | Psychologist | 324 W Bay Dr Nw Ste 218, Olympia, WA 98502-4926 | 2008-07-02 |
| 1558576421 | Charles Michael Regets | Psychologist | 2411 Pacific Ave. Se, Olympia, WA 98501 | 2007-05-13 |
| 1407073158 | Heesoon Jun | Psychologist | 3100 Sunset Beach Dr Nw, Olympia, WA 98502-3556 | 2007-04-20 |
| 1548487002 | Kristine Sylvia Harrison | Psychologist | 203 4th Avenue, Suite 320, Olympia, WA 98501 | 2007-04-19 |
| 1144356940 | Griselda S Perretz Rosales | Psychologist | 1026 State St, Olympia, WA 98506-4065 | 2007-02-26 |
| Find all providers in OLYMPIA | ||||
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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.