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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAKE MCMILLIAN APRN CNP PMHNP-BC
NPI 1659946671
Nurse Practitioner - Psychiatric/Mental Health in Pawtucket, RI

Active since May 21, 2021
101 BACON ST, PAWTUCKET, RI 02860(401) 722-3560(401) 722-3593 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Mar 27, 2026, May 21, 2021 (3 updates tracked since 2021).

About Blake Mcmillian Aprn Cnp Pmhnp-bc NPPES

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

BLAKE MCMILLIAN APRN CNP PMHNP-BC (NPI 1659946671) is an individual psychiatric/mental health provider in Pawtucket, Rhode Island, licensed in Rhode Island (APRN05241) and active in the NPI registry since May 2021. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1659946671
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBLAKE MCMILLIANCredential: APRN CNP PMHNP-BC
Location Address101 BACON STPawtucket, RI 02860-5542
Mailing Address325 W 45th St Apt 803aNew York, NY 10036-0077 · (512) 983-8552
Phone(401) 722-3560
Fax(401) 722-3593
Sole ProprietorNo
Enumeration DateMay 21, 2021
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1659946671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in RI · APRN05241
Also ListedRegistered NurseTaxonomy 163W00000X · License 916743 (TX), 798064 (NY), 82250 (RI)
101 BACON ST, Pawtucket, RI 02860
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Secondary Practice Location 1

Location 12090 Adam Clayton Powell Jr BlvdNew York, NY 10027-4990 · Phone (212) 553-6606

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.

TRISHA JOHNSON
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
MS. ALLYSON YVETTE VENTURA-TESILLO LCSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
CHRISTINE EMOND LICSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
STEFANIE BRIGANTI ACDP
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
RANDY ESTRADQ BACHELOR
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
NICOLE VADNAIS MASTERS
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
JOSEPH CLIFFORD LICSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
LONI TEIXEIRA
Registered Nurse (Psychiatric/Mental Health)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560

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 Mcmillian's NPI number?

The NPI number for Blake Mcmillian is 1659946671. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Blake Mcmillian located?

Blake Mcmillian practices at 101 Bacon St, Pawtucket, RI 02860. The listed phone number is (401) 722-3560.

What is Blake Mcmillian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Blake Mcmillian was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.