DR. MALLAREE BLAKE (NPI# 1629385323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629385323 |
| Entity Type | Individual |
| Full Name | DR. MALLAREE BLAKE |
| Credential | PSYD |
| Practice Address |
2460 W 26th Ave Ste 465c Denver CO 80211-5315 |
| Practice Telephone | 7203864046 |
| Mailing Telephone | 7203864046 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2020-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0004702 | CO | Behavioral Health & Social Service Providers |
| Street Address |
2460 W 26TH AVE STE 465C |
| City | DENVER |
| State | CO |
| Zip Code | 80211-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184124745 | Clv Counseling, LLC | Counselor | 2460 W 26th Ave Ste 465c, Denver, CO 80211-5315 | 2018-02-20 |
| 1023563947 | Christian Lee Vasquez | Counselor | 2460 W 26th Ave Ste 465c, Denver, CO 80211-5315 | 2016-08-20 |
| 1447685391 | Christina Aegerter | Counselor | 2460 W 26th Ave Ste 465c, Denver, CO 80211-5315 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073095436 | Kelsey Briana Vincent | Marriage & Family Therapist | 2855 Speer Blvd, Denver, CO 80211 | 2018-09-02 |
| 1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1437668670 | Timothy Daniel Conwell | Chiropractor | 4444 Umatilla St., Denver, CO 80211 | 2017-09-20 |
| 1609390632 | 38th Modern Dental Practice, LLC | Dentist | 3550 W 38th Ave., #5, Denver, CO 80211 | 2017-08-01 |
| 1063951473 | Samuel Hawkins | Counselor | 2560 W. 29th, Denver, CO 80211 | 2017-02-17 |
| 1972045011 | Margaret Reynolds | Counselor | 2727 Bryant St Ste 510, Denver, CO 80211 | 2016-11-07 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1154877470 | Sara Galan | Counselor | 2405 W. 26th Ave, Denver, CO 80211 | 2016-08-28 |
| Find all providers in zip 80211 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373621 | Colorado Springs Psychological Services | Psychologist | 6000 E Evans Ave Ste 350, Denver, CO 80222-5406 | 2020-10-12 |
| 1629676804 | Suzanne Beth Schimmel Cooper | Psychologist | 8158 E 5th Ave Ste 270, Denver, CO 80230-6446 | 2020-10-11 |
| 1336746429 | Alexis Emich | Psychologist | 950 S Cherry St Ste 421, Denver, CO 80246-2665 | 2020-10-02 |
| 1043821986 | Wendy M Cowperthwaite | Psychologist | 1720 S Bellaire St Ste 900, Denver, CO 80222-4333 | 2020-08-13 |
| 1649892704 | Erin E Shrago | Psychologist | 600 S Cherry St Ste 1111, Denver, CO 80246-1716 | 2020-05-12 |
| 1639700677 | Karen Rosica | Psychologist | 2000 Little Raven St Unit 302, Denver, CO 80202-6134 | 2020-01-29 |
| 1811451644 | Lisa May Brownstone | Psychologist | 4340 E Kentucky Ave Ste 451, Denver, CO 80246-2079 | 2019-01-25 |
| 1821592098 | Charles D. Glass, Ph.d., LLC | Psychologist | 1777 S Bellaire St Ste 160, Denver, CO 80222-4314 | 2018-03-21 |
| 1457854507 | Jessica Anne Reyka | Psychologist | 1739 N Gilpin St Apt 102, Denver, CO 80218-1232 | 2018-03-15 |
| 1376057695 | David Shanley Psyd, LLC | Psychologist | 1776 S Jackson St Ste 800, Denver, CO 80210-3807 | 2017-11-22 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on DR. MALLAREE 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.