IndividualActive
Blake Glanton
NPI 1558155226 · Health Service Psychologist · Waterford, MI
Provider details
- NPI number
- 1558155226
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- NA (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
279 Summit Dr
Waterford, MI 48328-3364
Phone: (248) 745-4900
Street-level locationGet directions
Mailing address
279 Summit Dr
Waterford, MI 48328-3364
Registry dates
- Enumerated
- 2025-04-08
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.