HILLARY S BLAKE (NPI# 1962836759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962836759 |
| Entity Type | Individual |
| Full Name | HILLARY S BLAKE |
| Credential | PSYD |
| Practice Address |
705 Riley Hospital Drive Indianapolis IN 46219-4959 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179448162 |
| Practice Fax Number | 3179480609 |
| Mailing Telephone | 3179623834 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
20042875A | IN | Behavioral Health & Social Service Providers |
| Street Address |
705 RILEY HOSPITAL DRIVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386620854 | Christine B. Caltoum | Orthopaedic Surgery | 705 Riley Hospital Drive, Indianapolis, IN 46202-5218 | 2005-12-16 |
| 1265062640 | Julia D Kemen | Nurse Practitioner | 705 Riley Hospital Drive, Roc 4270, Indianapolis, IN 46202-5109 | 2020-01-24 |
| 1093378184 | Joseph Needleman | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Riley Hospital 5900, Indianapolis, IN 46202-5109 | 2019-04-15 |
| 1154898518 | Maria Fouad Abou Nader | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2018-10-24 |
| 1578047239 | Sharon M Luu | Clinic/Center | 705 Riley Hospital Drive, Msa3, Indianapolis, IN 46202 | 2018-09-19 |
| 1730618133 | Joshua Samuel Rosen | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 | 2017-06-08 |
| 1477086668 | William Christopher Gaylord | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Roc 4340, Indianapolis, IN 46202 | 2017-04-05 |
| 1902284276 | Michael Scott Foreman | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Roc 4210, Indianapolis, IN 46202 | 2015-05-07 |
| 1255600862 | Professional Staff Management | Clinical Exercise Physiologist | 705 Riley Hospital Drive, Rr127 Riley Hospital for Children, Indianapolis, IN 46202-5225 | 2011-12-28 |
| 1184933459 | Kelly Maureen Jaske | Nurse Practitioner | 705 Riley Hospital Drive, Indianapolis, IN 46037 | 2010-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892985 | Debra Reisinger | Psychologist | 1002 Wishard Blvd Ste 3120, Indianapolis, IN 46202-2872 | 2020-05-09 |
| 1538103254 | Iris M Crider-nash | Psychologist | 5218 S East St, Suite E-4, Indianapolis, IN 46227-1900 | 2006-06-15 |
| 1972547693 | Dionne Dynlacht | Psychologist | 12647 Geist Cove Dr, Indianapolis, IN 46236-7239 | 2006-06-15 |
| 1477162808 | Julia Lamotte | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-31 |
| 1619453222 | Abbey C Hines | Psychologist | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2018-07-17 |
| 1538654371 | Brett Alicia Enneking | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-06-25 |
| 1629572789 | Elaine A Gilbert | Psychologist | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202-5109 | 2018-03-22 |
| 1962959908 | Cynthia Pierre | Psychologist | 705 Riley Hospital Dr, Suite 4300, Indianapolis, IN 46202-5109 | 2016-09-07 |
| 1518314160 | Stephanie E Hullmann | Psychologist | 355 W 16th St, Ste 2800, Indianapolis, IN 46202-2207 | 2016-05-24 |
| 1871975771 | Maura L. Rouse | Psychologist | 705 Riley Hospital Dr, Ri 5837, Indianapolis, IN 46202-5109 | 2015-06-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on HILLARY S 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.