PHILLIPA BLAKE


Address: 140 Dewitt St, New Haven, CT 06519-2133
Phone: 2036912791

PHILLIPA BLAKE (NPI# 1528311735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528311735
Entity Type Individual
Full Name PHILLIPA BLAKE
Credential MSW
Practice Address 140 Dewitt St
New Haven
CT 06519-2133
Practice Telephone 2036912791
Practice Fax Number 2035036515
Mailing Telephone 2036912791
Mailing Fax Number 2035036515
Enumeration Date 2012-10-25
Last Update Date 2012-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004235918 05
CT 004235900 05

Office Location

Street Address 140 DEWITT ST
City NEW HAVEN
State CT
Zip Code 06519-2133

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598311599 Families On The Line, LLC Counselor 129 Church St Ste 807, New Haven, CT 06510-2005 2019-08-15
1063985877 Robin M Knight Counselor 471 Lighthouse Rd, New Haven, CT 06512-4015 2019-01-03
1215413505 Mia Vita Counseling LLC Counselor 425 Dixwell Ave, New Haven, CT 06511-1771 2018-07-19
1851881965 Empowerment Counseling Services, LLC Counselor 427 Dixwell Ave, New Haven, CT 06511 2018-05-14
1225543457 Re-focus Foundation Inc. Counselor 157 Church Street, 19th Floor, New Haven, CT 06510 2017-12-11
1851804231 Clara Tilley Counselor 900 Chapel St Ste 1400, New Haven, CT 06510-2814 2017-11-08
1255876926 Della Marie Mullins Counselor 900 Grand Ave Apt 6, New Haven, CT 06511-4982 2017-01-04
1164826327 Jamie Jakubus Counselor 57224 Tanglewood St, New Haven, MI 48048-2993 2014-10-17
1710325824 Jose Villafuerte Counselor 628 George St, New Haven, CT 06511-5362 2013-06-11
1255601548 Affiliates for Consultation and Psychotherapy Counselor 389 Orange St., New Haven, CT 06511-6406 2012-01-04
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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