DR. CHRISTINE CHANG BLAKE (NPI# 1740333954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740333954 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE CHANG BLAKE |
| Other Name | CHRISTINE M CHANG |
| Credential | PH.D. |
| Practice Address |
1040 Noel Dr Ste 105 Menlo Park CA 94025-3357 |
| Practice Telephone | 6502183018 |
| Mailing Telephone | 6502183018 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY17494 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770886137 | Christine Grover Blake | Behavioral Analyst | 449 Route 6a, Unit 7, East Sandwich, MA 02537 | 2010-12-07 |
| 1003886466 | Christine Faith Blake | Obstetrics & Gynecology | 6565 S Yale Ave Ste 601, Tulsa, OK 74136-8307 | 2006-01-26 |
| 1477192920 | Christine Blake | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-02 |
| 1447767355 | Christine Blake | Occupational Therapist | 518 N Generals Blvd Ste D, Lincolnton, NC 28092 | 2018-01-02 |
| 1881980407 | Christine Blake | Specialist | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2011-06-22 |
| 1184800021 | Christine Blake | Nurse Practitioner | 1401 Crees St, West Liberty, IA 52776-1029 | 2008-01-10 |
| 1962547190 | Christine Linda Blake | Physical Therapist | 2798 Yulupa Ave, #1, Santa Rosa, CA 95405-8570 | 2007-02-21 |
| 1073571675 | Christine Roebuck Blake | Occupational Therapist | 570 Long Point Rd, Suite 270, Mt Pleasant, SC 29464-7930 | 2006-05-03 |
| Street Address |
1040 NOEL DR STE 105 |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| 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 |
|---|---|---|---|---|
| 1457907156 | Ordaz Psychological Health, Incorporated | Psychologist | 932 Santa Cruz Ave Ste C-1, Menlo Park, CA 94025-4633 | 2019-08-18 |
| 1548829294 | Christopher Wilkinson Sato-perry | Psychologist | 1134 Crane St Ste 218, Menlo Park, CA 94025-4329 | 2019-06-06 |
| 1790260214 | Anne-pier Voyer | Psychologist | 800 Menlo Ave Ste 128, Menlo Park, CA 94025-4732 | 2018-10-01 |
| 1104304096 | Pomeranz Psychology, Inc. | Psychologist | 825 Oak Grove Ave Ste C503, Menlo Park, CA 94025-4427 | 2018-08-01 |
| 1083965396 | Christina Marie Hassija | Psychologist | 795 Willow Rd Bldg 321mhc, Menlo Park, CA 94025-2539 | 2012-09-26 |
| 1013291376 | Edna Marie Esnil | Psychologist | 885 Oak Grove Ave Ste 210, Menlo Park, CA 94025-4441 | 2011-10-05 |
| 1811224363 | Stewart Blain | Psychologist | 149 Amherst Ave, Menlo Park, CA 94025-3803 | 2009-11-04 |
| 1801055207 | Diana Marchetti Barrett | Psychologist | 928 Timothy Ln, Menlo Park, CA 94025 | 2008-06-02 |
| 1316125610 | Paula Lynn Wilbourne | Psychologist | 795 Willow Rd (ats), Menlo Park, CA 94025 | 2008-02-08 |
| 1417168444 | Peter Pearson | Psychologist | 445 Burgess Dr, Suite #150, Menlo Park, CA 94025-3442 | 2007-05-24 |
| Find all providers in MENLO PARK | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
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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.