DR. PAMELA A BLAKE PH.D.
NPI 1215252630
Psychologist - Clinical in East Moriches, NY

Q: What is Pamela Blake's NPI number?

The NPI number for Pamela Blake is 1215252630. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Q: What is Pamela Blake's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Blake was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2010PECOS Enrolled

451 MONTAUK HWY, EAST MORICHES, NY 11940(631) 255-5481 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Pamela A Blake Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAMELA A BLAKE PH.D. (NPI 1215252630) is an individual clinical provider in East Moriches, New York, licensed in New York (018090) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215252630

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAMELA A BLAKECredential: PH.D.

Location Address451 MONTAUK HWYEast Moriches, NY 11940-1357

Mailing Address17 Annette LnEast Moriches, NY 11940-1508 · (631) 255-5481

Phone(631) 255-5481

Sole ProprietorYes

Enumeration DateMarch 29, 2010

Last NPPES UpdateMarch 31, 2010

✔ NPI 1215252630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 018090

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

451 MONTAUK HWY, East Moriches, NY 11940

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pamela A Blake Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Blake's NPI number?

The NPI number for Pamela Blake is 1215252630. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Pamela Blake located?

Pamela Blake practices at 451 Montauk Hwy, East Moriches, NY 11940. The listed phone number is (631) 255-5481.

What is Pamela Blake's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Pamela Blake enrolled in Medicare?

Yes. Pamela Blake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pamela Blake was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.