MR. STEPHEN DALE BLAKEMAN M.A.
NPI 1972507309
Psychologist - Clinical in Wake Forest, NC

Active since June 13, 2005
1012 CEDAR KNOLL DR, WAKE FOREST, NC 27587(919) 554-4343(877) 300-6893 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Stephen Dale Blakeman M.a. NPPES

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

MR. STEPHEN DALE BLAKEMAN M.A. (NPI 1972507309) is an individual clinical provider in Wake Forest, North Carolina, licensed in North Carolina (1556) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1972507309
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. STEPHEN DALE BLAKEMANCredential: M.A.
Location Address1012 CEDAR KNOLL DRWake Forest, NC 27587-6248
Mailing Address1012 Cedar Knoll DrWake Forest, NC 27587-6248 · (919) 554-4343 · Fax (877) 300-6893
Fax(877) 300-6893
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateMay 20, 2008
NPI 1972507309 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 NC · 1556
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.
1012 CEDAR KNOLL DR, Wake Forest, NC 27587

Other Identifiers 2

Other142A0NC · Bcbs
Medicaid6107254NC

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 Stephen Blakeman's NPI number?

The NPI number for Stephen Blakeman is 1972507309. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Stephen Blakeman located?

Stephen Blakeman practices at 1012 Cedar Knoll Dr, Wake Forest, NC 27587. The listed phone number is (919) 554-4343.

What is Stephen Blakeman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Stephen Blakeman was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.