Tessie Blake, PSY.D., L.P.
NPI 1104183326 · Psychologist · Detroit Lakes, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tessie Blake, PSY.D., L.P. is a Psychologist provider in Detroit Lakes, MN (NPI 1104183326).
Provider details
- NPI number
- 1104183326
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D., L.P.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-12
- Last updated
- 2016-02-22
Frequently asked questions
- What is Tessie Blake's NPI number?
- Tessie Blake's National Provider Identifier (NPI) is 1104183326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tessie Blake's specialty?
- Tessie Blake is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Tessie Blake located?
- Tessie Blake's practice location on file with NPPES is 1104 W River Rd, Detroit Lakes, MN 56501-2723.
- What is Tessie Blake's phone number?
- The practice phone number listed in the NPPES registry for Tessie Blake is (218) 844-6853.
- Does Tessie Blake accept Medicare?
- Tessie Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tessie Blake's NPI active?
- Yes — Tessie Blake's NPI (1104183326) is active in the NPPES registry as of the last update on 2016-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.