KAI BERGONDI BLAKE (NPI# 1639626294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639626294 |
| Entity Type | Individual |
| Full Name | KAI BERGONDI BLAKE |
| Credential | M.ED |
| Practice Address |
1919 15th St Se Washington DC 20020 |
| Mailing Address |
7800 Pomfret Rd Pomfret MD 20675-3218 |
| Practice Telephone | 2404128260 |
| Mailing Telephone | 2404128260 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
10993888 | DC | Behavioral Health & Social Service Providers |
| Street Address |
1919 15TH ST SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992260863 | Community of Hope, Inc. | Clinic/Center | 1919 15th St Se, Washington, DC 20020-4818 | 2019-02-05 |
| 1801362082 | Davina Abujudeh | Social Worker | 1919 15th St Se, Washington, DC 20020 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055147 | Rachel Kengle | Psychologist | 1642 K St Ne Apt 4, Washington, DC 20002-7611 | 2020-08-31 |
| 1922656693 | Alayna Miller | Psychologist | 8 Greendale Curv, Washington, IL 61571-2127 | 2019-08-27 |
| 1255986774 | Nnena Grace Okona | Psychologist | 3301 Wheeler Rd Se, Washington, DC 20032-4129 | 2019-08-02 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1568934453 | Patrice Jones | Psychologist | 2705 Martin Luther King Jr Ave Se, Washington, DC 20032-2608 | 2018-12-18 |
| 1649750910 | Jared Leppert | Psychologist | 4601 Texas Ave Se, Washington, DC 20019-4121 | 2018-08-16 |
| 1013433499 | Porsche Hancock | Psychologist | 1400 1st St Nw, Washington, DC 20001-1763 | 2017-08-17 |
| 1851828982 | Linda Romano | Psychologist | 801 7th St Sw, Washington, DC 20024-2473 | 2017-05-19 |
| 1629505367 | Carllistus Obeng | Psychologist | 6200 Kansas Ave Ne, Washington, DC 20011-1508 | 2017-05-12 |
| 1992238679 | Kira Graves | Psychologist | 1730 R St Nw, Washington, DC 20009-2410 | 2017-04-10 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on KAI BERGONDI BLAKE.
| 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.