IndividualActive
Mistey Blake, MA TLLP CADC-M
NPI 1821330499 · Clinical Psychologist · Canton, MI
Mistey Blake, MA TLLP CADC-M is a Clinical Psychologist provider in Canton, MI (NPI 1821330499).
Provider details
- NPI number
- 1821330499
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- MA TLLP CADC-M
- Sex
- Female
- Sole proprietor
- No
- License
- 6301015297 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
50430 School House Rd
100
Canton, MI 48187-5910
Phone: (734) 495-1722
Fax: (734) 495-3068
Street-level locationGet directions
Mailing address
50430 School House Rd
Canton, MI 48187-5910
Registry dates
- Enumerated
- 2013-03-21
- Last updated
- 2013-03-21
Frequently asked questions
- What is Mistey Blake's NPI number?
- Mistey Blake's National Provider Identifier (NPI) is 1821330499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mistey Blake's specialty?
- Mistey Blake is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mistey Blake located?
- Mistey Blake's practice location on file with NPPES is 50430 School House Rd, Canton, MI 48187-5910.
- What is Mistey Blake's phone number?
- The practice phone number listed in the NPPES registry for Mistey Blake is (734) 495-1722.
- Is Mistey Blake's NPI active?
- Yes — Mistey Blake's NPI (1821330499) is active in the NPPES registry as of the last update on 2013-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.