JACQUELINE MARGARET BLAKE MA, LPC, LLP
NPI 1386799070
Psychologist in Pontiac, MI

Active since January 24, 2007
114 ORCHARD LAKE RD, PONTIAC, MI 48341(248) 858-7766(248) 858-7201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Margaret Blake Ma, Lpc, Llp NPPES

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

JACQUELINE MARGARET BLAKE MA, LPC, LLP (NPI 1386799070) is an individual psychologist in Pontiac, Michigan, licensed in Michigan (6301009441) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1386799070
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELINE MARGARET BLAKECredential: MA, LPC, LLP
Location Address114 ORCHARD LAKE RDPontiac, MI 48341-2244
Mailing Address114 Orchard Lake RdPontiac, MI 48341-2244 · (248) 858-7766 · Fax (248) 858-7201
Fax(248) 858-7201
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1386799070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301009441
Definition
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.
114 ORCHARD LAKE RD, Pontiac, MI 48341

Other Identifiers 1

Medicaid1883825MI

Other Providers at the Same Location NPPES 20

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

Counselor (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Social Worker
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Counselor
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Counselor (Professional)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Social Worker (Clinical)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Community/Behavioral Health
114 ORCHARD LAKE RD
PONTIAC, MI 48341

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 Jacqueline Blake's NPI number?

The NPI number for Jacqueline Blake is 1386799070. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jacqueline Blake located?

Jacqueline Blake practices at 114 Orchard Lake Rd, Pontiac, MI 48341. The listed phone number is (248) 858-7766.

What is Jacqueline Blake's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.