DR. KYLA MACHELL BLALOCK


Address: 2608 Erwin Rd Ste 300, Durham, NC 27705-4597
Phone: 9196844686

DR. KYLA MACHELL BLALOCK (NPI# 1598245292) 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) 1598245292
Entity Type Individual
Full Name DR. KYLA MACHELL BLALOCK
Credential PHD
Practice Address 2608 Erwin Rd Ste 300
Durham
NC 27705-4597
Practice Telephone 9196844686
Mailing Telephone 9196844686
Enumeration Date 2018-08-21
Last Update Date 2018-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
5393 NC Behavioral Health & Social Service Providers

Office Location

Street Address 2608 ERWIN RD STE 300
City DURHAM
State NC
Zip Code 27705-4597

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598852238 Jeanne Eyman Schwartz Family Medicine 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2006-10-06
1912504481 Julia Vivian Springer Social Worker 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2020-10-07
1194334276 Elsa Friis Psychologist 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2020-07-24
1831711423 Alexis Nicole French Student in an Organized Health Care Education/Training Program 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2020-05-18
1619505336 Nicole Kneisler Social Worker 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2020-03-29
1417597501 Jacqueline Rae Flowers Psychologist 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2020-01-07
1346883543 Jessica Marie Solis Sloan Psychologist 2608 Erwin Rd Ste 300, Durham, NC 27705 2019-10-21
1336781491 John Conor O'neill Psychologist 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2019-10-10
1154893485 Marquise Eloi Social Worker 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2018-12-27
1063988814 Latasha Woods Psychologist 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 2018-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497397673 Sheltia Powell Psychologist 1400 E Cornwallis Rd, Durham, NC 27713-3457 2019-10-09
1831421106 Sarah Elizabeth Shook Psychologist 1415 W Nc Highway 54 Ste 104, Durham, NC 27707 2010-02-11
1770073041 Elena Jean Tenenbaum Psychologist 2608 Erwin Rd, Durham, NC 27705-4596 2018-05-13
1417390444 Durham Dbt, Inc. Psychologist 5850 Fayetteville Rd, Suite 201, Durham, NC 27713-6289 2013-04-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043831639 Elizabeth A Derouin Psychologist 422 W 9th St, Newton, NC 28658-3819 2020-05-05
1154796480 Kerri Wright Psychologist 7206 Courtney Pines Rd, Wilmington, NC 28411-7076 2015-12-11
1780053223 Susan Lynn Moschos Psychologist 249 Tobacco Farm Way, Chapel Hill, NC 27516-8420 2015-09-15
1720454549 Jessica Boisjoli Leboeuf Psychologist 824 Historian St, Raleigh, NC 27603-3489 2015-08-16
1275958399 Matthews Psychological and Family Services, Pllc Psychologist 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 2014-02-26
1740543032 Bindiya Shajith Psychologist 300 Asheville Ave, Suite # 240, Cary, NC 27518-8682 2012-06-21
1144589623 Lara E. Gerrard, Ma, Lpa Psychoeducational Evaluations Psychologist 668 N Spence Ave, Goldsboro, NC 27534-4233 2012-05-03
1295003002 Linda Peer Fleming Psychologist 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 2011-12-07
1508165986 The G.l.u. Club, LLC Psychologist 9156 Eventine Ct, Charlotte, NC 28214-9323 2011-03-24
1437456407 Geraldine Dawson Psychologist 4120 Bioinformatics Building, University of North Carolina, Chapel Hill, NC 27599-0001 2011-02-28
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Competitor

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City DURHAM
Zip Code 27705

Improve Information

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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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