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KELLY ALYSSA BLAYLOCK
NPI 1902462641
Counselor - Mental Health in San Diego, CA

Active since May 17, 2019
5088 PACIFICA DR, SAN DIEGO, CA 92109(619) 940-7441 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Aug 19, 2021, Dec 14, 2020 and 2 more (5 updates tracked since 2019).

About Kelly Alyssa Blaylock NPPES

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

KELLY ALYSSA BLAYLOCK (NPI 1902462641) is an individual mental health provider in San Diego, California and active in the NPI registry since May 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1902462641
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY ALYSSA BLAYLOCK
Location Address5088 PACIFICA DRSan Diego, CA 92109-1502
Mailing Address800 Silverado St Ste 300La Jolla, CA 92037-4234 · (619) 940-7441
Phone(619) 940-7441
Sole ProprietorNo
Enumeration DateMay 17, 2019
Last NPPES UpdateSeptember 5, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1902462641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5088 PACIFICA DR, San Diego, CA 92109
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Secondary Practice Locations 3

Location 18755 Aero Dr Ste 306San Diego, CA 92123-1764 · Phone (858) 634-1108
Location 2545 Laurel StSan Diego, CA 92101-1634 · Phone (619) 233-4399
Location 33255 Wing StSan Diego, CA 92110-4638 · Phone (619) 221-8600

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 Kelly Blaylock's NPI number?

The NPI number for Kelly Blaylock is 1902462641. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Kelly Blaylock located?

Kelly Blaylock practices at 5088 Pacifica Dr, San Diego, CA 92109. The listed phone number is (619) 940-7441.

What is Kelly Blaylock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Blaylock was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.