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BLAKE M LANCASTER PHD
NPI 1255521787
Psychologist - Clinical Child & Adolescent in Ann Arbor, MI

Active since July 31, 2007PECOS Enrolled
333 MAYNARD ST STE 402, ANN ARBOR, MI 48104(269) 998-1005 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Nov 11, 2020, Jan 6, 2020 (3 updates tracked since 2020).

About Blake M Lancaster Phd NPPES

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

BLAKE M LANCASTER PHD (NPI 1255521787) is an individual clinical child & adolescent provider in Ann Arbor, Michigan, licensed in Michigan (6301015156) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255521787
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameBLAKE M LANCASTERCredential: PHD
Location Address333 MAYNARD ST STE 402Ann Arbor, MI 48104-2282
Mailing Address333 Maynard St Ste 402Ann Arbor, MI 48104-2282
Phone(269) 998-1005
Sole ProprietorNo
Enumeration DateJuly 31, 2007
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1255521787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MI · 6301015156
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PLP302 (NE), 6301015156 (MI)
333 MAYNARD ST STE 402, Ann Arbor, MI 48104
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Other Identifiers 1

Medicaid302NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake M Lancaster Phd 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MICHAELS
Social Worker (Clinical)
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104
Washtenaw County (269) 998-1005
WENDY KERN LMSW
Social Worker (Clinical)
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104
Washtenaw County (734) 545-8080
TASHA H PAREKH LMSW
Social Worker (Clinical)
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104
Washtenaw County (269) 998-1005
HYDEEN K BEVERLY PHD, MSW
Social Worker (Clinical)
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104
Washtenaw County (269) 998-1005
NICOLE STEPHENS LLMSW
Social Worker (Clinical)
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104
Washtenaw County (269) 998-1005
BUYS CONSULTING, LLC DBA BLND HEALTH
Social Worker (Clinical)
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104
Washtenaw County (269) 716-0116
MR. LELAND ANDERSON MERRILL LLMSW
Social Worker (Clinical)
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104
Washtenaw County (269) 998-1005

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 Blake Lancaster's NPI number?

The NPI number for Blake Lancaster is 1255521787. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Blake Lancaster located?

Blake Lancaster practices at 333 Maynard St Ste 402, Ann Arbor, MI 48104. The listed phone number is (269) 998-1005.

What is Blake Lancaster's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Blake Lancaster enrolled in Medicare?

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

What insurance does Blake Lancaster accept?

Health plans from McLaren Health Plan Community list Blake Lancaster as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Lancaster was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.