Robert R. Blake, PH.D.
NPI 1457387466ActiveIndividual· Psychologist· Indianapolis, IN
Psychologist (PH.D.) in Indianapolis, Indiana, licensed in IN, with an NPI issued in June 2006. Medicare paid $17,963 for services to 47 patients in 2024.
Overview
| NPI | 1457387466 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2006 |
| Last updated in NPPES | Nov 25, 2022 |
| Certified by provider | Nov 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 20040385 | IN |
| Psychologist, Clinical | 103TC0700X | 20040385 | IN |
| Psychologist, Health Service | 103TH0100X | 20040385 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 211 across 6 procedure codes |
| Paid by Medicare | $17,963 |
Education and affiliations
| Graduation year | 1969 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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