Provider Type Icon

DR. ELIZABETH WINTON BLAKE PH.D. NPI 1326107426


NPI Information

NPI: 1326107426
Provider Name: DR. ELIZABETH WINTON BLAKE, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
915 MIDDLE RIVER DR
SUITE 204
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 763-6557
Get Directions

DR. Elizabeth Winton Blake, PH.D. is a psychologist in Fort Lauderdale, FL. The provider is 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. DR. Elizabeth Winton Blake, PH.D. NPI is 1326107426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 MIDDLE RIVER DR
SUITE 204
FORT LAUDERDALE, FL
ZIP 33304-559
Phone: (954) 763-6557
Fax: (954) 561-8331

The enumeration date for this NPI number is 12/6/2006 and was last updated on 11/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN764412FLORIDANo
2103T00000XPsychologistPY4139FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
173460MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2299483OTHERFLORIDAAVMED HEALTH PLANS
3IPO41451OTHERFLORIDAMAGELLAN BEHAVIORAL HEALT
46110620OTHERFLORIDAUNITED BEHAVIORAL HEALTH
5098581OTHERFLORIDAVALUE OPTIONS
673460OTHERFLORIDABLUE CROSS BLUE SHIELD
74278424OTHERFLORIDAAETNA
8084337OTHERFLORIDAMANAGED HEALTH NETWORK
9BLAKELIZOTHERFLORIDACORPHEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.