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BLAYKE GABRIELLA ROBERTS SUDRC
NPI 1730801184
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since September 13, 2022
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110(619) 523-8121(619) 523-8742 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2023, Sep 13, 2022 (2 updates tracked since 2022).

About Blayke Gabriella Roberts Sudrc NPPES

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

BLAYKE GABRIELLA ROBERTS SUDRC (NPI 1730801184) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (13803) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1730801184
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBLAYKE GABRIELLA ROBERTSCredential: SUDRC
Location Address3340 KEMPER ST STE 105San Diego, CA 92110-4907
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Phone(619) 523-8121
Fax(619) 523-8742
Sole ProprietorNo
Enumeration DateSeptember 13, 2022
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1730801184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 13803
3340 KEMPER ST STE 105, San Diego, CA 92110
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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.

PABLO R SAMAYOA SUDRC
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
JUDITH MARIE YOUNG SUDRC 11732
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MRS. MADELINE ELIZABETH ROCHA MS, LMFT
Counselor (Mental Health)
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LYDIA E. LOPEZ
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LISA KAY ANTCLIFF SUDRC # 22517
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MS. MONICA LEA PEDDICORD CADC-II
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MARIE G DENIS
Counselor
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
KEITH PATRICK SULLIVAN
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121

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 Blayke Roberts's NPI number?

The NPI number for Blayke Roberts is 1730801184. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Blayke Roberts located?

Blayke Roberts practices at 3340 Kemper St Ste 105, San Diego, CA 92110. The listed phone number is (619) 523-8121.

What is Blayke Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Blayke Roberts was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.