Timothy Blake, LP
NPI 1568796613 · Psychologist · Minneapolis, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Blake, LP is a Psychologist provider in Minneapolis, MN (NPI 1568796613).
Provider details
- NPI number
- 1568796613
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- LP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5115 (MN)
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
16 yrs 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
Mailing address
Registry dates
- Enumerated
- 2009-09-22
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Frequently asked questions
- What is Timothy Blake's NPI number?
- Timothy Blake's National Provider Identifier (NPI) is 1568796613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Blake's specialty?
- Timothy Blake is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Timothy Blake located?
- Timothy Blake's practice location on file with NPPES is 2649 Park Ave, Minneapolis, MN 55407-1006.
- What is Timothy Blake's phone number?
- The practice phone number listed in the NPPES registry for Timothy Blake is (612) 676-1604.
- Does Timothy Blake accept Medicare?
- Timothy Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Blake's NPI active?
- Yes — Timothy Blake's NPI (1568796613) is active in the NPPES registry as of the last update on 2021-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.