DR. MARY KELLY BLAKESLEE PH.D.
NPI 1902950959
Psychologist in Summit, NJ

Active since January 23, 2007
25 FRANKLIN PL, SUMMIT, NJ 07901(908) 598-0059(908) 598-0058 Get Directions Write a Review

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

About Dr. Mary Kelly Blakeslee Ph.d. NPPES

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

DR. MARY KELLY BLAKESLEE PH.D. (NPI 1902950959) is an individual psychologist in Summit, New Jersey, licensed in New Jersey (35SI00182200) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902950959
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY KELLY BLAKESLEECredential: PH.D.
Location Address25 FRANKLIN PLSummit, NJ 07901-3616
Mailing Address25 Franklin PlSummit, NJ 07901-3616 · (908) 598-0059 · Fax (908) 598-0058
Fax(908) 598-0058
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902950959 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 NJ · 35SI00182200
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.
25 FRANKLIN PL, Summit, NJ 07901

Other Identifiers 1

Medicare ID-Type UnspecifiedBL700994NJ

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
25 FRANKLIN PL
SUMMIT, NJ 07901
Psychologist
25 FRANKLIN PL
SUMMIT, NJ 07901

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 Mary Blakeslee's NPI number?

The NPI number for Mary Blakeslee is 1902950959. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Mary Blakeslee located?

Mary Blakeslee practices at 25 Franklin Pl, Summit, NJ 07901. The listed phone number is (908) 598-0059.

What is Mary Blakeslee'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 Mary Blakeslee 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.