JACOB MICHAEL BLANK - NPI 1851113724 - Psychologist in Farmington Hills, MI

Q: What is Jacob Blank's NPI number?

The NPI number for Jacob Blank is 1851113724. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Q: What is Jacob Blank'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 Jacob Blank was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacob Michael Blank NPPES

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

JACOB MICHAEL BLANK (NPI 1851113724) is an individual clinical provider in Farmington Hills, Michigan, licensed in Michigan (6352001031) and active in the NPI registry since October 2024. He maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1851113724

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJACOB MICHAEL BLANK

Location Address32841 MIDDLEBELT RD STE 403Farmington Hills, MI 48334-1714

Mailing Address1085 Kenyon DrFort Washington, PA 19034-1625 · (215) 816-1395

Phone(248) 851-7739

Sole ProprietorNo

Enumeration DateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1851113724 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 MI · 6352001031

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.

32841 MIDDLEBELT RD STE 403, Farmington Hills, MI 48334

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Secondary Practice Location 1

Location 11945 Pauline Blvd Ste 21CAnn Arbor, MI 48103-5021 · Phone (248) 851-7739

Other Providers at the Same Location NPPES 14

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

THE MEL BORNSTEIN CLINIC FOR PSYCHOANALYSIS AND PSYCHOTHERAPY

Clinic/Center (Multi-Specialty)